Individual
SUSAN DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 ENTERPRISE RD, DILLON, SC 29536-7821
(843) 841-2228
(843) 841-0294
Mailing address
1201 JOHN ST, DILLON, SC 29536-2625
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
009725
SC
183500000X
Pharmacist
15793
NC
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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