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1710596507
THARA MARY ISSAC
LUBBOCK, TX
NPI
1710596507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 64333)
Enumeration Date
2020-07-28
Last Update Date
2020-08-17
Business Address
THARA MARY ISSAC PharmD
4510 IRONTON AVE APT 9103
LUBBOCK, TX 79407-3789
Phone number: 860-502-2245
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Mailing Address
THARA MARY ISSAC PharmD
4510 IRONTON AVE APT 9103
LUBBOCK, TX 79407-3789
Phone number: 860-502-2245
Copy
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