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Individual
STEPHEN DAVIS
Active
Individual
STEPHEN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
047037
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047037
PHARNMACIST LICENSE NUMBER
NY
Enumeration date
03/10/2010
Last updated
03/10/2010
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