Individual
RICHARD PERRY VAN DYKE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2017
(214) 820-8199
Mailing address
910 PRAIRIE RIDGE LN, ARLINGTON, TX 76005-1148
Taxonomy
Speciality
Code
Description
License number
State
1835E0208X
Emergency Medicine Pharmacist
Primary
67381
TX
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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