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Individual

DENNIS GLEN RITTENHOUSE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PHARMACY TECHNICIAN

Contact information

Practice address
2700 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4600
(253) 460-1879
Mailing address
12610 135TH ST E, PUYALLUP, WA 98374-4668
(253) 435-1670

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
VA00041460
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
VA00041460
PHARMACY TECHNICIAN LIC
WA
Enumeration date
02/13/2006
Last updated
07/08/2007
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