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Individual
JOHN DICKSON
Active
Individual
JOHN DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH 00016134
WA
183500000X
Pharmacist
Primary
RPH-0006478
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH 00016134
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
01
—
RPH-0006478
OREGON BOARD OF PHARMACY
OR
Enumeration date
02/07/2012
Last updated
02/16/2012
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