Individual
PATRICIA ANN DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
223 BAKER ST APT 103, MOSCOW, ID 83843-4037
(208) 440-5180
Mailing address
223 BAKER ST APT 103, MOSCOW, ID 83843-4037
(208) 440-5180
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T60944
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1210518
PTCB ACCOUNT ID
ID
01
—
1444516
NABP E-PROFILE ID
—
Enumeration date
07/25/2021
Last updated
07/25/2021
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