Dickson, John
Dickson, John is an individual health care provider with primary practice located at 220 S Seneca Rd , Eugene OR 97402-2725. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Dickson, John can be contacted via phone (541) 868-1762.Contact Information
Primary practice address
220 S Seneca Rd
Eugene OR 97402-2725
Phone: (541) 868-1762
Fax: (541) 345-0264
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | RPH-0006478 | Oregon |
| Pharmacy Service Providers / Pharmacist | 183500000X | PH 00016134 | Washington |
Profile Details
| NPI number | 1790057685 |
|---|---|
| LBN Legal business name | Dickson, John |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2012 |
| Last updated | Feb 16th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790057685 | NPPES |
| Oregon | Other | RPH-0006478 | OREGON BOARD OF PHARMACY |
| Oregon | Other | PH 00016134 | OREGON BOARD OF PHARMACY |
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