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Individual
REN DYSON
Active
Individual
REN DYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH, QMHP-R
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
183500000X
Pharmacist
RPH-0010021
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH-0010021
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH-0010021
STATE PHARMACIST LICENCE
OR
Enumeration date
02/09/2012
Last updated
07/22/2025
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