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Individual
MR. BRECK E KLEIN
Active
Individual
MR. BRECK E KLEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5175
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861442519
NPI
—
01
—
4222080
NABP
SC
05
—
744827
—
SC
01
—
DE1349
MEDICAID DME
—
Enumeration date
03/06/2012
Last updated
03/06/2012
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