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Individual
MR. SANGMIN LEE
Active
Individual
MR. SANGMIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D., RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
2014041620
MO
183500000X
Pharmacist
Primary
61902
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61902
TEXAS STATE BOARD OF PHARMACY RPH LICENSE NUMBER
TX
Enumeration date
10/09/2018
Last updated
10/09/2018
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