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Individual
MR. STANTON R. SPOON
Active
Individual
MR. STANTON R. SPOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH. FASCP
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP-029685-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP-029685-L
PHARMACIST LICENSE
PA
Enumeration date
01/25/2006
Last updated
04/12/2013
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