Individual
DANA DICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
112 N HAMILTON DR, BOX 5, GRANT PARK, IL 60940-7257
(815) 937-0528
Mailing address
112 N HAMILTON DR, BOX 5, GRANT PARK, IL 60940-7257
(815) 937-0528
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-039328
IL
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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