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Individual
BETH PEROSI
Active
Individual
BETH PEROSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
034065-1
NY
183500000X
Pharmacist
Primary
25432
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034065-1
RPH LICENSE #
NY
01
—
25432
RPH LICENSE #
NJ
Enumeration date
02/09/2008
Last updated
02/09/2008
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