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Individual
MARION MAX
Active
Individual
MARION MAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
13917
NE
183500000X
Pharmacist
16820-40
WI
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
13917
NE
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
16820-40
WI
1835P1200X
Pharmacotherapy Pharmacist
13917
NE
1835P1200X
Pharmacotherapy Pharmacist
16820-40
WI
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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