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Connie Lac

Pharmacist in Trabuco Canyon, CA. Individual provider (NPI-1).

NPI number1699201699
StatusActive
Last updated in NPPESMay 11, 2017

Details

NPI
1699201699
Entity type
Individual (NPI-1)
Name
Connie Lac
Sex
Female
Sole proprietor
Yes
Enumeration date
May 11, 2017
Last updated
May 11, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist66247CAYes

Practice location

21572 Plano Trabuco Rd
Trabuco Canyon, CA 92679-3465

Phone 949-589-3792 · Fax 949-589-2705

Mailing address

46 Talisman
Irvine, CA 92620-3843

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