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Individual
DR. FERNANDO ESTRADA
Active
Individual
DR. FERNANDO ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCPS, BCIDP
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RP00009189
NM
183500000X
Pharmacist
Primary
RPH-0014916
OR
Other
Enumeration date
12/14/2020
Last updated
11/01/2021
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