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Individual
MR. DENNIS CLAYTON WITHERWAX
Active
Individual
MR. DENNIS CLAYTON WITHERWAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25141
CA
183500000X
Pharmacist
3996
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03996
PHARMACY LICENSE
NV
01
—
25141
PHARMACY LICENSE
CA
Enumeration date
03/28/2007
Last updated
03/30/2015
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