COLLIN LAFAYETTE

PHILADELPHIA, PA
NPI1770036832
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: PA  RP449819)
Enumeration Date2016-07-25
Last Update Date2016-07-25
Business Address
-- COLLIN LAFAYETTE
1617 JFK BLVD
PHILADELPHIA, PA 19103-1821
Phone number: 215-561-1316
Mailing Address
-- COLLIN LAFAYETTE
1617 JFK BLVD
PHILADELPHIA, PA 19103-1821
Phone number: 215-561-1316
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