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Individual
MR. JERRY GENE NEWMAN
Active
Individual
MR. JERRY GENE NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6427
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0114291
NABP
AL
Enumeration date
11/06/2007
Last updated
11/06/2007
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