Individual
DEREK DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1725 W HUNT HWY, SAN TAN VALLEY, AZ 85143-5203
(480) 677-2540
(480) 677-2562
Mailing address
1725 W HUNT HWY, SAN TAN VALLEY, AZ 85143-5203
(480) 677-2540
(480) 677-2562
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S021309
AZ
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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