Anita Dickerson

NPI #1134864846 in Humboldt, Tennessee

Provider Information

NPI Number: 1134864846
Entity Type: Individual
Name: Anita Dickerson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Apr 28, 2022
Last Updated: Apr 28, 2022

Practice Location

Address: 2401 N CENTRAL AVE
City: Humboldt
State: Tennessee
ZIP Code: 38343-1753
Phone: (731) 784-2613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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