CLARENCE TRUMAN LASTINGER

CUMMING, GA
NPI1215212006
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: GA  08710)
Enumeration Date2011-10-12
Last Update Date2011-10-12
Business Address
Mr. CLARENCE TRUMAN LASTINGER rph
3290 KEITH BRIDGE RD
CUMMING, GA 30041-3937
Phone number: 770-886-3202
Mailing Address
Mr. CLARENCE TRUMAN LASTINGER rph
3290 KEITH BRIDGE RD
CUMMING, GA 30041-3937
Phone number: 770-886-3202