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Individual
MUDAR CHALATI
Active
Individual
MUDAR CHALATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH237710
MA
183500000X
Pharmacist
PHCY-04337
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH237710
MA BOARD OF PHARNACY
MA
01
—
PHCY-04337
NH BOARD OF PHARMACY
NH
Enumeration date
06/26/2018
Last updated
06/26/2018
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