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Individual
SCOTT RODERICK BERGERON
Active
Individual
SCOTT RODERICK BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD., RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
41574
TN
183500000X
Pharmacist
52736
TX
183500000X
Pharmacist
PH60091125
WA
183500000X
Pharmacist
Primary
RPH-0010850
OR
Other
Enumeration date
11/14/2008
Last updated
11/18/2020
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