Individual
DICKSON C NWOSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
92 SOUDER RD, BRUNSWICK, MD 21716-1245
(301) 834-8100
Mailing address
7808 KEENAN RD, GLEN BURNIE, MD 21061-4854
(410) 760-2172
(410) 760-2172
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12238
MD
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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