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1881910206
LISA MCFADEN
LATHAM, NY
NPI
1881910206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NY 050614)
Enumeration Date
2010-04-09
Last Update Date
2010-04-09
Business Address
-- LISA MCFADEN
579 TROY SCHENECTADY RD
LATHAM, NY 12110-2806
Phone number: 518-782-1754
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Mailing Address
-- LISA MCFADEN
PO BOX 1000 MS3000
PORTLAND, ME 04104-5005
Phone number: 207-885-7454
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