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Individual
JED FOUTZ
Active
Individual
JED FOUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1967
AK
183500000X
Pharmacist
RPH-0012572
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
0012572
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0012572
OR
Other
Enumeration date
09/28/2010
Last updated
02/13/2025
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