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Individual
SCOTT JEFFREY SOUTHARD
Active
Individual
SCOTT JEFFREY SOUTHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
048172
NY
183500000X
Pharmacist
Primary
PS64186
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048172
PHARMACIST LICENSE
NY
01
—
PS64186
PHARMACIST LICENSE
FL
Enumeration date
03/28/2008
Last updated
01/02/2023
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