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Individual
MR. L. DEXTER TRUAX SR.
Active
Individual
MR. L. DEXTER TRUAX SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH5863
SC
333600000X
Pharmacy
PH5863
SC
3336C0003X
Community/Retail Pharmacy
Primary
PH5863
SC
3336C0003X
Community/Retail Pharmacy
RPH017183
GA
3336H0001X
Home Infusion Therapy Pharmacy
RPH017183
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH5863
BOARD OF PHAMRACY
SC
01
—
RPH017183
BOARD OF PHARMACY
GA
Enumeration date
07/27/2017
Last updated
07/27/2017
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