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Individual
STACY BOSCH
Active
Individual
STACY BOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302030949
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302030949
REGISTERED PHARMACIST PERMANENT I.D. NUMBER
MI
Enumeration date
03/14/2013
Last updated
03/14/2013
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