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Individual
MARK C PHELPS
Active
Individual
MARK C PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
45669
TX
183500000X
Pharmacist
Primary
PS35094
FL
Other
Enumeration date
12/28/2009
Last updated
12/28/2009
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