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Individual
MARC DITOMMASO
Active
Individual
MARC DITOMMASO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0010066
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010066
OREGON BOARD OF PHARMACY
OR
Enumeration date
02/22/2012
Last updated
02/22/2012
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