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Individual
KENNETH RYAN CAMILLI
Active
Individual
KENNETH RYAN CAMILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19515
NC
183500000X
Pharmacist
PH233335
MA
183500000X
Pharmacist
PS42958
FL
Other
Enumeration date
10/02/2009
Last updated
04/07/2011
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