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Individual

NORBERT LACKNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
4921 PARKVIEW PL, 3RD FLOOR CAM OUTPATIENT PHARMACY, SAINT LOUIS, MO 63110-1032
(314) 747-9932
(314) 747-9920
Mailing address
4921 PARKVIEW PL, 3RD FLOOR CAM OUTPATIENT PHARMACY, SAINT LOUIS, MO 63110-1032
(314) 747-9932
(314) 747-9920

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041005
MO

Other

Enumeration date
05/15/2006
Last updated
08/13/2007
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