Individual
LORI DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
300 KROGER CTR, MOREHEAD, KY 40351-8895
(606) 783-1476
(606) 780-9484
Mailing address
300 KROGER CTR, MOREHEAD, KY 40351-8895
(606) 783-1476
(606) 780-9484
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010475
KY
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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