Most Relevant Information
Provider Data
| NPI Number: | 1003588971 |
| Provider Name: | CAMERON VAN DYKE RPH |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 03322169 |
Most Important Dates
| Enumeration Date: | 09/29/2021 |
| Last Updated: | 10/27/2024 |
Provider Practice Location
128 GROSS ST
MARIETTA
OH
457502031
Practice Location Phone/Fax
| Phone: | 7403743127 |
| Fax: | 7403743296 |
Provider Mailing Location
128 GROSS ST
MARIETTA
OH
457502031
Provider Mailing Phone/Fax
| Phone: | 7403743127 |
| Fax: | 7403743296 |