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Individual
PACHARINEE POOLPERM
Active
Individual
PACHARINEE POOLPERM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
41743
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41743
PHARMACIST LICENSE
CA
Enumeration date
10/18/2009
Last updated
10/18/2009
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