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Individual
MARK TADAO TAMURA
Active
Individual
MARK TADAO TAMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
40586
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40586
PHARMACY LICENSE
CA
Enumeration date
01/31/2019
Last updated
01/31/2019
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