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1912040130
MICHELLE G SISTARE
LANCASTER, SC
NPI
1912040130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183700000X Pharmacy Technician
(Licence: SC 10346)
Enumeration Date
2007-02-15
Last Update Date
2007-07-08
Business Address
MRS. MICHELLE G SISTARE CPHT
1073 W MEETING ST
LANCASTER, SC 29720-2205
Phone number: 803-285-2021
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Mailing Address
MRS. MICHELLE G SISTARE CPHT
4503 JB DENTON RD
LANCASTER, SC 29720-9179
Phone number: 803-283-9292
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