Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Ellery Ryder Dixon, STUDENTPHARMACIST

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1023467354

Mr. Ellery Ryder Dixon, STUDENTPHARMACIST is a Student in an Organized Health Care Education/Training Program in Milton, Washington. Licensed in Washington. Registered with an NPI since 2016.

Licensed in
WA
In the registry since
2016

Practice location Address checks out

2425 Diamond St
Milton, WA 98354-9310
Phone: (253) 922-6242
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence IR 60121008 (WA)

Record details

NPI number1023467354
Entity typeIndividual (Type 1)
GenderMale
Credentials STUDENTPHARMACIST
Sole proprietorNo
NPI enumeratedJune 7, 2016
Last updated in NPPESJune 7, 2016

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