Individual provider · Type 1 NPI

Kent Frances Dickerson, RPH

Pharmacist · Grand Rapids, MI

NPI number 1104146596 Active

Practice location

2036 Lake Michigan Dr NW
Grand Rapids, MI 49504-4743

Fax (616) 453-0107

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X5302031457 (MI)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1104146596

Kent Frances Dickerson, RPH's National Provider Identifier is 1104146596, issued on Jun 8, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 8, 2010.