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Individual
JOHN FARRELL STEVEN
Active
Individual
JOHN FARRELL STEVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP028660L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP028660L
PENNSYLVANIA PHARMACY STAE LICENSE NUMBER
PA
Enumeration date
07/13/2010
Last updated
07/13/2010
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