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1295011260
LANE A, SERR
TOOELE, UT
NPI
1295011260
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: UT 292419-1701)
Enumeration Date
2011-10-22
Last Update Date
2011-10-22
Business Address
DR. LANE A, SERR PHARM D
188 N MAIN ST
TOOELE, UT 84074-2140
Phone number: 435-228-1003
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Mailing Address
DR. LANE A, SERR PHARM D
188 N MAIN ST
TOOELE, UT 84074-2140
Phone number: 435-228-1003
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