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Kent Dickerson, RPH
NPI 1104146596 · on the registry since 2010
Practice
- Address
- 2036 Lake Michigan Dr Nw
Grand Rapids, MI 49504 - Phone
- (616) 453-8750
- Fax
- (616) 453-0107
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-06-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan