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David Allen Dickerson

Pharmacist in Mount Sterling, KY. Individual provider (NPI-1).

NPI number1982207841
StatusActive
Last updated in NPPESNov 20, 2020

Details

NPI
1982207841
Entity type
Individual (NPI-1)
Name
David Allen Dickerson
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 20, 2020
Certification date
Nov 20, 2020
Last updated
Nov 20, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist019433KYYes

Practice location

1201 Indian Mound Dr
Mount Sterling, KY 40353-1534

Phone 859-498-4320 · Fax 859-499-0882

Mailing address

1201 Indian Mound Dr
Mount Sterling, KY 40353-1534

Phone 859-498-4320 · Fax 859-499-0882

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