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Individual
SAN TA
Active
Individual
SAN TA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
19179
NV
183500000X
Pharmacist
57996
TX
183500000X
Pharmacist
Primary
73504
CA
183500000X
Pharmacist
PH60565451
WA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH0015000
OR
Other
Enumeration date
12/30/2015
Last updated
06/09/2023
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