Individual
DR. CANDICE ANDREA LAGASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
559 VINCENT ST, 21 MDSS/SGSD - PHARMACY, PETERSON AFB, CO 80914-1540
(719) 556-1108
(866) 867-7926
Mailing address
559 VINCENT ST, 21 MDSS/SGSD - PHARMACY, PETERSON AFB, CO 80914-1540
(719) 556-1108
(866) 867-7929
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
52236
CA
Other
Enumeration date
10/10/2006
Last updated
11/13/2008
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