Individual
MRS. DIANA F VICKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1621 W HENDERSON ST, CLEBURNE, TX 76033-4122
(817) 641-6702
(817) 641-6740
Mailing address
1621 W HENDERSON ST, CLEBURNE, TX 76033-4122
(817) 641-6702
(817) 641-6740
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
30611
TX
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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