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Individual
PHILLIP R EDELBLUTE
Active
Individual
PHILLIP R EDELBLUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19876
NC
183500000X
Pharmacist
8410
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19876
NORTH CAROLINA STATE BOARD OF PHARMACY
NC
01
—
8410
OKLAHOMA STATE BOARD OF PHARMACY
OK
Enumeration date
03/15/2011
Last updated
03/15/2011
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