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Individual
MR. ALEX CHEBISHEV
Active
Individual
MR. ALEX CHEBISHEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI101712400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI01712400
PHARMACY LICENSE
NJ
Enumeration date
06/03/2009
Last updated
10/18/2016
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