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Individual
STEPHEN MICHAEL IGLEHEART
Active
Individual
STEPHEN MICHAEL IGLEHEART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
53778
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7028601169
FOR PAXLOVID PRESCRIBING
TX
Enumeration date
10/13/2022
Last updated
10/13/2022
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