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Individual

DALE MARTIN ERICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM. D.

Contact information

Practice address
7110 BACHMAN RD, SARDINIA, OH 45171-9456
(937) 446-2545
(937) 446-2600
Mailing address
2847 LITTLE DRY RUN RD, CINCINNATI, OH 45244-2829
(513) 474-5024
(513) 474-5955

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03114704
OH

Other

Enumeration date
01/22/2007
Last updated
07/08/2007
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