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1386357655
LISA HERGAN
HERNANDO, FL
NPI
1386357655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: FL ps54607)
Enumeration Date
2023-01-03
Last Update Date
2023-01-03
Business Address
Mrs. LISA HERGAN
1298 E NORVELL BRYANT HWY STE D
HERNANDO, FL 34442-4992
Phone number: 352-419-8949
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Mailing Address
Mrs. LISA HERGAN
4415 W SOUTHERN ST
LECANTO, FL 34461-8626
Phone number: 570-778-9988
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