Individual
JOHN KENT DICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4895 BASSETT CREEK DR, GOLDEN VALLEY, MN 55422-4169
(763) 588-9933
Mailing address
4895 BASSETT CREEK DR, GOLDEN VALLEY, MN 55422-4169
(763) 588-9933
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
114900-9
MN
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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