MR. Ellery Ryder Dixon, STUDENT PHARMACIST

NPI #1023467354 in Milton, Washington

Provider Information

NPI Number: 1023467354
Entity Type: Individual
Name: MR. Ellery Ryder Dixon, STUDENT PHARMACIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: STUDENT PHARMACIST
Enumeration Date: Jun 7, 2016
Last Updated: Jun 7, 2016

Practice Location

Address: 2425 DIAMOND ST
City: Milton
State: Washington
ZIP Code: 98354-9310
Phone: (253) 922-6242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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