Individual
DIANNE ANGEL VICKERY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
NAVAL HOSPITAL, 100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547
(910) 450-4136
Mailing address
534 BRICK YARD RD, HAMPSTEAD, NC 28443-8209
(910) 270-3791
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6174
NC
Other
Enumeration date
05/25/2006
Last updated
07/08/2007
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