Individual
DAVID ALLEN DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 INDIAN MOUND DR, MOUNT STERLING, KY 40353-1534
(859) 498-4320
(859) 499-0882
Mailing address
1201 INDIAN MOUND DR, MOUNT STERLING, KY 40353-1534
(859) 498-4320
(859) 499-0882
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019433
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
PHARMACY
KY
Enumeration date
11/20/2020
Last updated
11/20/2020
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