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Individual
MR. CRAIG ADLER MANDEL
Active
Individual
MR. CRAIG ADLER MANDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
05128142
IL
183700000X
Pharmacy Technician
049091215
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36364114001
—
IL
Enumeration date
02/20/2007
Last updated
10/26/2010
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