Individual
MATTHEW DICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
43 AUTUMN RD, PARK CITY, MT 59063-8099
(406) 370-6752
Mailing address
43 AUTUMN RD, PARK CITY, MT 59063-8099
(406) 370-6752
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5113
MT
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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