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Individual
ISSA SALL
Active
Individual
ISSA SALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302039655
MI
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PH61451138
WA
Other
Enumeration date
07/18/2018
Last updated
06/19/2026
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