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Individual

DR. JOSEPH EDWARD KING IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM-D

Contact information

Practice address
625 SE MILLER AVE, DALLAS, OR 97338-2634
(503) 623-2400
(503) 623-5799
Mailing address
625 SE MILLER AVE, DALLAS, OR 97338-2634
(503) 623-2400
(503) 623-5799

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0013214
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0013214
OR

Other

Enumeration date
11/10/2015
Last updated
02/02/2021
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