Individual
DR. ERIC DANIEL DIERKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
525 S MAIN ST, ADA, OH 45810-6000
(419) 772-2299
Mailing address
525 S MAIN ST, ADA, OH 45810-6000
(419) 772-2299
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03439839
OH
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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