MR. Clarence Truman Lastinger, RPH

NPI #1215212006 in Cumming, Georgia

Provider Information

NPI Number: 1215212006
Entity Type: Individual
Name: MR. Clarence Truman Lastinger, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Oct 12, 2011
Last Updated: Oct 12, 2011

Practice Location

Address: 3290 KEITH BRIDGE RD
City: Cumming
State: Georgia
ZIP Code: 30041-3937
Phone: (770) 886-3202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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