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Individual
DR. PHEMELO B TSHANE
Active
Individual
DR. PHEMELO B TSHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
119580
MN
183500000X
Pharmacist
16433
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119580
REGISTERED PHARMACIST LICENSE
MN
01
—
16433
REGISTERED PHARMACIST LICENSE
MD
Enumeration date
02/23/2007
Last updated
02/11/2010
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