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Individual
GARRETT OW
Active
Individual
GARRETT OW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
61893
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH61893
PHARMACISTS LICENSE
CA
Enumeration date
05/11/2021
Last updated
05/11/2021
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