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JOHN EDWARD DIPPEL CPHT

>> Pharmacy Technician >> Pharmacy Service Providers

Registrant NPI Number: 1407000409

Individual Registrant:
 JOHN EDWARD DIPPEL CPHT
Gender: M
Sole Proprietor

Location and contact information for practice:
2200 FORT ROOTS DRIVE PHARMACY NLR 119 NORTH LITTLE RODK, AR 72114 US
Tel: 501-257-2900  Fax: --

Contact information for business:
2200 FORT ROOTS DRIVE PHARMACY NLR 119 NORTH LITTLE RODK, AR 72114 US
Tel: 501-257-2900  Fax: --

Registration Information:
NPI: 1407000409
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183700000XPharmacy Service Providers
Pharmacy Technician

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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