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Individual
PATRICIA MASHBURN
Active
Individual
PATRICIA MASHBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25161
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25161
PHARMACIST LICENCE
NC
Enumeration date
08/19/2015
Last updated
08/19/2015
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