Individual
JOHN DORIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19200 N KELSEY ST, MONROE, WA 98272-1431
(360) 805-4706
Mailing address
701 DELLWOOD ST S, CAMBRIDGE, MN 55008-1920
(637) 689-8700
(763) 689-7816
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
122182
MN
183500000X
Pharmacist
Primary
PH60482605
WA
390200000X
Student in an Organized Health Care Education/Training Program
IR60471093
WA
Other
Enumeration date
07/12/2014
Last updated
01/05/2022
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