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Individual
LISA HUNTSMAN
Active
Individual
LISA HUNTSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-17088
KS
183500000X
Pharmacist
Primary
31623
TX
183500000X
Pharmacist
CP11410
AR
183500000X
Pharmacist
PST.019191
LA
183500000X
Pharmacist
T-010805
MS
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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