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NPI Code Detail

MEDICARE: DEBORAH ANN DYSON RPH

MEDICARE: DEBORAH ANN DYSON RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist26016127AIN

General Provider Information

NPI Number : 1952684029
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH ANN DYSON RPH
Provider Business Mailing Address
First Line : 8352 N 900 W
Second Line :
City : HUNTINGTON
State : IN
Zip : 46750-8840
Country : US
Telephone Number : 260-344-1039
Fax Number :
Provider Business Practice Location Address
First Line : 1804 N JEFFERSON ST
Second Line :
City : HUNTINGTON
State : IN
Zip : 46750-1343
Country : US
Telephone Number : 260-358-0014
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2011
Last Update Date : 09/24/2011

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Directions to “ DEBORAH ANN DYSON RPH” Practice Location

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