Individual
AMY DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
700 E 4TH ST, MOUNT VERNON, IN 47620-2011
(812) 838-5089
Mailing address
700 E 4TH ST, MOUNT VERNON, IN 47620-2011
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26027984A
IN
Other
Enumeration date
11/27/2020
Last updated
11/27/2020
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