DR. Tanisha Crystal Dexter

NPI #1982894739 in Douglas, Wyoming

Provider Information

NPI Number: 1982894739
Entity Type: Individual
Name: DR. Tanisha Crystal Dexter
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jul 27, 2007
Last Updated: Jul 27, 2007

Practice Location

Address: 1202 EAST RICHARDS STREET
City: Douglas
State: Wyoming
ZIP Code: 82633
Phone: (307) 358-5088

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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