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1184607954
LORIE L WIDDUP
WAYNESBURG, PA
NPI
1184607954
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: PA RP-034971-R)
Enumeration Date
2005-11-24
Last Update Date
2007-07-08
Business Address
-- LORIE L WIDDUP RPh PharmD CDE
1440 E HIGH ST
WAYNESBURG, PA 15370-9558
Phone number: 724-627-6486
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Mailing Address
-- LORIE L WIDDUP RPh PharmD CDE
106 HUNTINGTON WOODS
WAYNESBURG, PA 15370-8245
Phone number: 724-627-4046
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