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Individual

DR. CARLTON DEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
1311 N STATE ROUTE 48, DECATUR, IL 62526-3701
(217) 429-1988
(217) 429-9577
Mailing address
1311 N STATE ROUTE 48, DECATUR, IL 62526-3701
(217) 429-1988
(217) 429-9577

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051290218
IL
183500000X
Pharmacist
0521501
NY
183500000X
Pharmacist
42041
TX
183500000X
Pharmacist
PS47399
FL

Other

Enumeration date
11/22/2011
Last updated
11/22/2011
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