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1417981887
TIMOTHY WADE LUCAS
ROANOKE, VA
NPI
1417981887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: VA 0202011082)
Enumeration Date
2006-07-10
Last Update Date
2007-07-09
Business Address
Mr. TIMOTHY WADE LUCAS R.Ph.
40 SUMMERS WAY SUITE 101
ROANOKE, VA 24019-8286
Phone number: 540-966-4858
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Mailing Address
Mr. TIMOTHY WADE LUCAS R.Ph.
40 SUMMERS WAY SUITE 101
ROANOKE, VA 24019-8286
Phone number: 540-966-4858
Copy
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