Individual
AMANDA TAYLOR DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1310 MCCULLOUGH AVE, SAN ANTONIO, TX 78212-5601
(210) 757-2200
Mailing address
1310 MCCULLOUGH AVE, SAN ANTONIO, TX 78212-5601
(210) 783-3900
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6777
SD
390200000X
Student in an Organized Health Care Education/Training Program
I-2613
SD
Other
Enumeration date
08/23/2018
Last updated
11/07/2021
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