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1235551664
ROGER LASTINE
TUCSON, AZ
NPI
1235551664
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ S010488)
Enumeration Date
2014-01-21
Last Update Date
2014-01-21
Business Address
-- ROGER LASTINE
7150 E SPEEDWAY BLVD
TUCSON, AZ 85710-1318
Phone number: 520-722-8669
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Mailing Address
-- ROGER LASTINE
1955 N ALANDALE AVE
TUCSON, AZ 85715-4554
Phone number: 520-290-6633
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