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Individual
MERLINE MATHEW
Active
Individual
MERLINE MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
62915
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366546178
CVS PHARMACY
—
Enumeration date
11/17/2020
Last updated
01/10/2021
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