# DR. MICHAEL EDWARD PATTERSON III

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1710555347
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 051303379 | IL | — |
| 183500000X | Pharmacist | 2020032441 | MO | Yes |

## Other

- **Enumeration date:** 06/10/2021
- **Last updated:** 06/10/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 051303379 | LICENCED PHARMACIST IL | IL |
| 01 | — | 2020032441 | REGISTERED PHARMACIST MO | MO |