MEDICARE: DAVID DYER PHARM D

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
1	183500000X	Pharmacist	11290	NE

General Provider Information

NPI Number	:	1609145556
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID DYER PHARM D

Provider Business Mailing Address
First Line	:	533 S LINCOLN AVE
Second Line	:
City	:	YORK
State	:	NE
Zip	:	68467-4211
Country	:	US
Telephone Number	:	402-362-1280
Fax Number	:	402-362-1355

Provider Business Practice Location Address
First Line	:	533 S LINCOLN AVE
Second Line	:
City	:	YORK
State	:	NE
Zip	:	68467-4211
Country	:	US
Telephone Number	:	402-362-1280
Fax Number	:	402-362-1355

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2011
Last Update Date	:	12/21/2011

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Directions to “ DAVID DYER PHARM D” Practice Location

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