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Individual
LYLE CANIDA
Active
Individual
LYLE CANIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, MS, CPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS46562
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS46562
PHARMACIST LICENSE
FL
Enumeration date
04/06/2021
Last updated
04/06/2021
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