Individual
DR. CHRISTOPHER L DYKSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2300 WESTERN AVE, ATTN: PHARMACY, MANITOWOC, WI 54220-3712
(920) 320-3004
Mailing address
2300 WESTERN AVE, ATTN: PHARMACY, MANITOWOC, WI 54220-3712
(920) 320-3004
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15074
WI
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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