Most Relevant Information
Provider Data
| NPI Number: | 1003499401 |
| Provider Name: | MICHAEL DEAN |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 03114752 |
Most Important Dates
| Enumeration Date: | 05/03/2021 |
| Last Updated: | 05/03/2021 |
Provider Practice Location
1709 STATE ROUTE 59
KENT
OH
442402849
Practice Location Phone/Fax
| Phone: | 3306783662 |
| Fax: |
Provider Mailing Location
1709 STATE ROUTE 59
KENT
OH
442402849
Provider Mailing Phone/Fax
| Phone: | 3306783662 |
| Fax: |