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1831794783
LA THACH
RAYTOWN, MO
NPI
1831794783
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: MO 2004035741)
Enumeration Date
2020-11-30
Last Update Date
2020-11-30
Business Address
LA THACH Pharm.D
5310 BLUE RIDGE BLVD
RAYTOWN, MO 64133-3063
Phone number: 816-313-1280
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Mailing Address
LA THACH Pharm.D
708 NE DICK HOWSER CT
LEES SUMMIT, MO 64064-1673
Phone number: 816-536-9688
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