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Individual
TRENT P FLORENCE
Active
Individual
TRENT P FLORENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
369959-1701
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
369959-1701
DOPL PHARMACIST
UT
01
—
369959-8911
DOPL CONTROLLED SUBSTANCE
UT
Enumeration date
05/19/2010
Last updated
05/19/2010
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