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Individual

ANDREW JAMES DICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
105 WHEATFIELD DIRVE, SUITE 2, MILFORD, PA 18337
(570) 296-5138
(570) 296-5386
Mailing address
105 WHEATFIELD DR STE 2, MILFORD, PA 18337-7809
(570) 269-5138
(570) 296-5386

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP035914L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RP035914L
PENNSYLVANIA STATE LICENSE NUMBER
PA
Enumeration date
12/09/2011
Last updated
12/09/2011
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