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Individual
MINA SOUS
Active
Individual
MINA SOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
28RI03410800
NJ
183500000X
Pharmacist
52989
TX
183500000X
Pharmacist
I057944-1
NY
183500000X
Pharmacist
Primary
PS54172
FL
Other
Enumeration date
03/29/2011
Last updated
04/29/2025
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