Individual
CHAD ANTHONY DICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
350 HIGHWAY 62 E, MOUNTAIN HOME, AR 72653-3629
(870) 424-3814
Mailing address
350 HIGHWAY 62 E, MOUNTAIN HOME, AR 72653-3629
(870) 424-3814
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD15892
AR
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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