Individual
BENJAMIN LACKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
68501 ADDIE WAY, SAINT CLAIRSVILLE, OH 43950-9537
(740) 695-6322
Mailing address
1267 ARROWOOD DR, PITTSBURGH, PA 15243-1857
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03439298
OH
183500000X
Pharmacist
RP454093
PA
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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