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Individual
DR. LANDON SCOTT BORDNER
Active
Individual
DR. LANDON SCOTT BORDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, MBA
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP456782
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PII000090
AUTHORIZATION TO ADMINISTER INJECTABLES
PA
01
—
RP456782
REGISTERED PHARMACIST
PA
Enumeration date
07/06/2022
Last updated
07/06/2022
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