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Individual

MR. WILLIAM E. BRENT

Active
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Individual

MR. WILLIAM E. BRENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
10915
TN
183500000X
Pharmacist
Primary
E-07333
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000010915
STATE OF TENNESSEE DEPARTMENT OF HEALTH, PHARMACIST LICENSE NUMBER
TN
01
—
E-07333
MISSISSIPPI PHARMACY LICENSE NUMBER
MS
Enumeration date
03/31/2011
Last updated
03/31/2011
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