MICHAEL DEAN DICKENS

BOISE, ID
NPI1972719839
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: ID  P4854)
Enumeration Date2007-05-15
Last Update Date2007-07-08
Business Address
-- MICHAEL DEAN DICKENS R.PH.
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2490
Mailing Address
-- MICHAEL DEAN DICKENS R.PH.
3876 TATTENHAM AVE
BOISE, ID 83713-3657
Phone number: 208-381-2490
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