Individual
MICKEY DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4648 HEARTWOOD WAY, CASTLE ROCK, CO 80109-4509
(580) 302-3563
Mailing address
4648 HEARTWOOD WAY, CASTLE ROCK, CO 80109-4509
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
14242
OK
183500000X
Pharmacist
Primary
18671
CO
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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