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Individual
SCOTT HENRY VAN KOOTEN
Active
Individual
SCOTT HENRY VAN KOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S020165
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S020165
PHARMACY PERMIT
AZ
Enumeration date
09/24/2013
Last updated
09/24/2013
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