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Individual
BUCK EDWARD STANFORD
Active
Individual
BUCK EDWARD STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH, MBA
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
26019282A
IN
183500000X
Pharmacist
Primary
88598291701
UT
1835P2201X
Ambulatory Care Pharmacist
88598291701
UT
Other
Enumeration date
10/21/2017
Last updated
10/21/2017
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