Individual
MRS. AMY JANE DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
50 SPRING VALLEY MARKETPLACE, SPRING VALLEY, NY 10977-5213
(845) 371-5811
(845) 371-5811
Mailing address
17 GRAND COVE WAY, EDGEWATER, NJ 07020-7222
(201) 927-6076
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
047178
NY
183500000X
Pharmacist
Primary
RI24909
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02243552
—
NY
Enumeration date
11/16/2007
Last updated
04/04/2008
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