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Individual
DR. GAVRILO DURICA
Active
Individual
DR. GAVRILO DURICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S019569
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3191
AZ IMMUNIZATION CERTIFICATE
AZ
01
—
S019569
AZ PHARMACIST LICENSE
AZ
Enumeration date
11/20/2012
Last updated
11/20/2012
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