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Individual
MEA M IM
Active
Individual
MEA M IM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH 62927
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH 62927
CA BOARD OF PHARMACY
CA
Enumeration date
10/06/2011
Last updated
01/09/2015
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