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Individual
MR. DAVE MARTIN SMITH
Active
Individual
MR. DAVE MARTIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS PHARMACY
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
44212
ID
183500000X
Pharmacist
51023
TX
183500000X
Pharmacist
RPH-0012414-P
OR
Other
Enumeration date
03/15/2013
Last updated
03/15/2013
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