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Individual
BRIAN FUNG
Active
Individual
BRIAN FUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, MPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
122628
MN
183500000X
Pharmacist
9027449-1701
UT
183500000X
Pharmacist
Primary
PS50431
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122628
MINNESOTA BOARD OF PHARMACY
MN
01
—
9027449-1701
UTAH DIVISION OF PROFESSIONAL LICENSING
UT
01
—
PS50431
FLORIDA BOARD OF PHARMACY
FL
Enumeration date
02/14/2023
Last updated
02/14/2023
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