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Individual
PETER MAURETTA
Active
Individual
PETER MAURETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH023195
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051535325
DRIVER'S LICNESE
GA
01
—
RPH023195
PHARMACIST LICENSE
GA
Enumeration date
06/06/2014
Last updated
06/06/2014
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