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Individual

DWIGHT THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2221 1ST ST, CHENEY, WA 99004-2049
(509) 235-4705
(509) 235-4713
Mailing address
2221 1ST ST, CHENEY, WA 99004-2049
(509) 235-4705
(509) 235-4713

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00010793
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PH00010793
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
02/09/2012
Last updated
02/09/2012
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