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Individual
DR. TRACI MO
Active
Individual
DR. TRACI MO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60570573
WA
183500000X
Pharmacist
RPH-0015754
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH60570573
WASHINGTON BOARD OF PHARMACY
WA
01
—
RPH-0015754
OREGON BOARD OF PHARMACY
OR
Enumeration date
12/02/2016
Last updated
01/17/2024
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