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Individual
ALBERT SHOMADE
Active
Individual
ALBERT SHOMADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R132831
MD
163W00000X
Registered Nurse
RN64761
DC
183500000X
Pharmacist
19065
MD
183500000X
Pharmacist
Primary
PH100000654
DC
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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