Individual
SAM R LAFOLLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1008 REECE RIDGE DR, GAHANNA, OH 43230-4551
(614) 313-8352
Mailing address
1008 REECE RIDGE DR, GAHANNA, OH 43230-4551
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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