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Individual
MICHAEL JOHN ODONNELL
Active
Individual
MICHAEL JOHN ODONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10462-040
WI
183500000X
Pharmacist
P4624
ID
183500000X
Pharmacist
PH00042528
WA
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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