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Individual
MICHAEL FIELDS
Active
Individual
MICHAEL FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS20009
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261687
NABP E-PROFILE ID: 261687
FL
Enumeration date
11/15/2014
Last updated
11/15/2014
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