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Individual
KINGA EWA LIS
Active
Individual
KINGA EWA LIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051300536
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051300536
REGISTERED PHARMACIST LICENSE
IL
Enumeration date
04/03/2019
Last updated
04/04/2019
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