NPI 1023507613

Nicholas Ryan Dibos

Practitioner Pharmacist Eugene, OR

Practice location

Address: 1750 Willow Creek Cir, Eugene, OR 97402-9152
Phone: (541) 744-1641
Fax: (541) 744-1052
Mailing address: PO Box 2767, Eugene, OR 97402-0308

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RPH-0013146 (OR)

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Registry record

NPI: 1023507613
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 May 2018
Record last updated: 9 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.