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Individual
RANDOLPH ERNEST MARGRAVE
Active
Individual
RANDOLPH ERNEST MARGRAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS0020769
FL
1835N1003X
Nutrition Support Pharmacist
PU0002896
FL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PS0020769
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS0020769
BOARD OF PHARMACY
FL
Enumeration date
11/16/2019
Last updated
11/16/2019
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