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Individual
DANTE CARROLL
Active
Individual
DANTE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH100003062
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH100003062
PHARMACIST LICENSE
DC
Enumeration date
07/09/2020
Last updated
07/09/2020
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