Most Relevant Information
Provider Data
| NPI Number: | 1003417742 |
| Provider Name: | REBECCA ANNE DADLES PHARMACIST |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 5302413058 |
Most Important Dates
| Enumeration Date: | 11/07/2020 |
| Last Updated: | 11/07/2020 |
Provider Practice Location
8364 BYRON CENTER AVE SW
BYRON CENTER
MI
493157805
Practice Location Phone/Fax
| Phone: | 6168780497 |
| Fax: |
Provider Mailing Location
8364 BYRON CENTER AVE SW
BYRON CENTER
MI
493157805
Provider Mailing Phone/Fax
| Phone: | 6168780497 |
| Fax: |