Individual
JENNIFER LYNN DICKMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3718 N MAIN ST, ROCKFORD, IL 61103-1612
(815) 877-9620
(815) 877-2249
Mailing address
3718 N MAIN ST, ROCKFORD, IL 61103-1612
(815) 877-9620
(815) 877-2249
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051286570
IL
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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