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1477838456
TIMOTHY W LAKEBRINK
FENTON, MO
NPI
1477838456
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: MO 029401)
Enumeration Date
2011-10-20
Last Update Date
2011-10-20
Business Address
Mr. TIMOTHY W LAKEBRINK RPh
1001 BOWLES AVE
FENTON, MO 63026-2338
Phone number: 636-343-0754
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Mailing Address
Mr. TIMOTHY W LAKEBRINK RPh
1001 BOWLES AVE
FENTON, MO 63026-2338
Phone number: 636-343-0754
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