Individual
DEANNA DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
(541) 789-4251
Mailing address
2841 LEONARD AVE, MEDFORD, OR 97504-5867
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0012409
OR
183500000X
Pharmacist
6728590-1701
UT
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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