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1356664536
SHANNON GERALD PEDERSON
VANCOUVER, WA
NPI
1356664536
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: WA ph00017762)
Enumeration Date
2010-03-02
Last Update Date
2010-03-02
Business Address
Mr. SHANNON GERALD PEDERSON Rph
2903 NE ANDRESSEN RD
VANCOUVER, WA 98661
Phone number: 360-256-1503
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Mailing Address
Mr. SHANNON GERALD PEDERSON Rph
2903 NE ANDRESEN RD
VANCOUVER, WA 98661-7329
Phone number: 360-256-1503
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