Individual
ANDREA STACY DICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2255 BRAESWOOD PARK DR, APT 336, HOUSTON, TX 77030-4454
(509) 338-5024
Mailing address
2255 BRAESWOOD PARK DR, APT 336, HOUSTON, TX 77030-4454
(509) 338-5024
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH 60215918
WA
1835X0200X
Oncology Pharmacist
Primary
53786
TX
Other
Enumeration date
10/12/2012
Last updated
10/04/2013
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