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Individual
JOYCE WHITEHURST
Active
Individual
JOYCE WHITEHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
33129
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17508658428
TAX ID
TX
01
—
4588755
NAPB
—
05
—
463944
—
TX
Enumeration date
06/09/2015
Last updated
06/09/2015
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