Michael Lee Dickson
Pharmacist in Vernon, CT. Individual provider (NPI-1).
NPI number1508469321
StatusActive
Last updated in NPPESNov 17, 2020
Details
- NPI
- 1508469321
- Entity type
- Individual (NPI-1)
- Name
- Michael Lee Dickson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 17, 2020
- Certification date
- Nov 17, 2020
- Last updated
- Nov 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 08361 | CT | Yes |
Practice location
142 Talcottville RdVernon, CT 06066-4705
Phone 860-871-1661
Mailing address
142 Talcottville RdVernon, CT 06066-4705
Phone 860-871-1661
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