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Individual
MR. BRIAN PEDERSON
Active
Individual
MR. BRIAN PEDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-13187
KS
183500000X
Pharmacist
20030018137
MO
183500000X
Pharmacist
36320
TX
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
1-13187
KS
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
20030018137
MO
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
36320
TX
Other
Enumeration date
07/21/2014
Last updated
06/30/2026
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