Individual
COURTLAND G DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2950 COLLEGE DR, BATON ROUGE, LA 70808-3203
(225) 924-6084
Mailing address
2950 COLLEGE DR, BATON ROUGE, LA 70808-3203
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.023335
LA
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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