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Individual
DR. PHILIP WAYNE BRUMMOND
Active
Individual
DR. PHILIP WAYNE BRUMMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D., M.S.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15012-040
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118926
PHARMACIST LICENSE
MN
01
—
15012-040
PHARMACIST
WI
01
—
5302039547
PHARMACIST LICENSE
MI
Enumeration date
09/06/2007
Last updated
11/18/2009
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