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Individual
MARY ELIZABETH WINTERS
Active
Individual
MARY ELIZABETH WINTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP044708L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP044708L
STATE BOARD OF PHARMACY
PA
01
—
RPI004194
AUTHORIZATION TO ADMINISTER INJECTABLES
PA
Enumeration date
10/04/2011
Last updated
10/04/2011
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