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Individual
AUSTIN REED
Active
Individual
AUSTIN REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00005991
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP00005991
NEW MEXICO PHARMACIST LICENSE
NM
Enumeration date
04/08/2014
Last updated
12/22/2016
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