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Individual
ROBERT DECKER
Active
Individual
ROBERT DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0012729
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH-0012729
PHARMACIST LICENSE NUMBER
OR
Enumeration date
04/08/2013
Last updated
04/08/2013
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