National Provider Identifier
Alice Jessup Dedrick, RPH
Alice Jessup Dedrick, RPH is listed in the NPPES registry with a primary specialty of Pharmacist in Depew, NY and a listed phone number of (716) 681-4255.
Profile Overview
- NPI
- 1861672784
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- November 08, 2007
- Last Updated
- November 08, 2007
Practice Location
- 4900 Broadway
- Depew, NY 14043-3934
Phone: (716) 681-4255
Mailing Address
- 45 Tunbridge Walke
- East Aurora, NY 14052-2019
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1861672784
- Entity Type
- Individual
- Last Name
- Dedrick
- First Name
- Alice
- Middle Name
- Jessup
- Name Prefix
- MS.
- Credential
- RPH
- Mailing Street Address
- 45 Tunbridge Walke
- Mailing City
- East Aurora
- Mailing State
- NY
- Mailing ZIP Code
- 14052-2019
- Mailing Country
- US
- Mailing Phone
- (716) 652-1492
- Practice Street Address
- 4900 Broadway
- Practice City
- Depew
- Practice State
- NY
- Practice ZIP Code
- 14043-3934
- Practice Country
- US
- Practice Phone
- (716) 681-4255
- Practice Fax
- (716) 681-7598
- Enumeration Date
- November 08, 2007
- Last Updated
- November 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)
- Other Identifiers
- 00482751 (NY)