Individual
MRS. DAWN RAE EKLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
303 PINE ST, SOUTH DAYTON, NY 14138
(716) 988-3410
(716) 988-3720
Mailing address
136 BEECHVIEW AVE, JAMESTOWN, NY 14701-1660
(716) 665-4922
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
040701
NY
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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