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Individual
DR. THOMAS WILBUR FORESTER BULL
Active
Individual
DR. THOMAS WILBUR FORESTER BULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH, PED
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12992-040
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12992-040
WI PHARMACY LICENSE
WI
Enumeration date
12/01/2007
Last updated
12/01/2007
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