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Individual
SAMMY DALLAS MAPLES
Active
Individual
SAMMY DALLAS MAPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS49820
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS49820
STATE LICENSE
FL
Enumeration date
01/16/2013
Last updated
01/16/2013
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