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Individual
MR. THOMAS RICHARD BERG
Active
Individual
MR. THOMAS RICHARD BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
4214
SD
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
CF00003827
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4924735
NABP
WA
05
—
6008767
—
WA
01
—
CF00003827
PHARMACY LICENSE
WA
Enumeration date
01/23/2007
Last updated
09/11/2025
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