Individual
LAURA L DICKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 WESTOWN PKWY, SUITE 122, WEST DES MOINES, IA 50266-6720
(515) 223-4644
Mailing address
5822 S WINWOOD DR, JOHNSTON, IA 50131-1616
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16852
IA
183500000X
Pharmacist
—
IL
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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