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Mr. Ellery Ryder Dixon, STUDENTPHARMACIST
Student in an Organized Health Care Education/Training Program in Milton, Washington
NPI 1023467354

Ellery Ryder Dixon is a Student in an Organized Health Care Education/Training Program based in Milton, WA. Ellery Ryder Dixon practices in Milton, WA and has the professional credentials of STUDENTPHARMACIST. The NPI Number for Ellery Ryder Dixon is 1023467354 and holds a License No. IR 60121008 (Washington).

The current practice location address for Ellery Ryder Dixon is 2425 Diamond St, Milton, WA and can be reached out via phone at 253-922-6242.

Location: 2425 Diamond St, Milton, WA, 98354-9310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023467354
Provider Name
Ellery Ryder Dixon
Credential
STUDENTPHARMACIST
Provider Entity Type
Individual
Gender
Male
Address
2425 Diamond St, Milton, WA, 98354-9310
Phone Number
253-922-6242
Fax Number
Provider Enumeration Date
06/07/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2425 Diamond St
City
Milton
State
Washington
Zip
98354-9310
Phone Number
253-922-6242
Fax Number
person
Provider Business Mailing Address Details
Address
2425 Diamond St
City
Milton
State
Washington
Zip
98354-9310
Phone Number
253-922-6242
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
IR 60121008 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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