CHANNING THACKER

ALTOONA, PA
NPI1376090076
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: PA  RP450963)
Enumeration Date2016-09-10
Last Update Date2016-09-10
Business Address
-- CHANNING THACKER
3331 PLEASANT VALLEY BLVD
ALTOONA, PA 16602-4311
Phone number: 814-942-1081
Mailing Address
-- CHANNING THACKER
1001 HENCH CIR APT 5
ALTOONA, PA 16602-6919
Phone number: 606-253-1260
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