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Individual
MR. GARY NONE MARX
Active
Individual
MR. GARY NONE MARX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26880
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LICENSE # 26880
PHARMACIST LICENSE NUMBER
CA
01
—
LICENSE # 5302020573
PHARMACIST LICENSE FOR MI
MI
01
—
LICENSE # RPH0008242
PHARMACIST LICENSE NUMBER
OR
Enumeration date
01/24/2007
Last updated
07/08/2007
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