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Individual
JERILL SHERWOOD THOMAS
Active
Individual
JERILL SHERWOOD THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6591
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6591
AL STATE BOP LISCENSE
AL
Enumeration date
08/08/2012
Last updated
08/08/2012
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