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Individual
MR. TRI M LE
Active
Individual
MR. TRI M LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS0035050
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS0035050
PHARMACY LICENSE NUMBER
FL
Enumeration date
05/04/2007
Last updated
07/08/2007
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