Individual
JEFF DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
CHEYENNE RIVER HEALTH CENTER 24276 AIRPORT RD., 166TH S, EAGLE BUTTE, SD 57625
(605) 964-1520
Mailing address
24276 AIRPORT RD., 166TH STREET, EAGLE BUTTE, SD 57625
(605) 964-1520
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS56146
FL
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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