James G Dickerson SR.

NPI 1073508289 - Pharmacist - 183500000X

NPI Details
NPI 1073508289
Gender Male
Enumeration Date 09/14/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 12 years ago
Practice Location
601 N 30TH ST
SUITE 2807
OMAHA NE, 68131-2137, US
Phone (402) 449-4560
Fax (402) 449-4531
Business Location
15001 S HIGHWAY 31
GRETNA NE, 68028-6312, US
Phone (402) 672-4636
Fax (402) 449-4531
Taxonomy Code 183500000X
License State Iowa
License Number 12903
Remove 1073508289 NPI Number

According to our database, Dr. James G Dickerson SR. NPI is 1073508289, taxonomy code is 183500000X and license number is 12903, license state is located at Iowa. James G Dickerson SR. physically located at 601 N 30th St, Omaha NE, 68131-2137. NPI Number James G Dickerson SR. has the Individual type.

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1073508289 NPI number is provided on an as is basis without warranty of any kind. 1073508289 is maintained by the National Plan & Provider Enumeration System. The contents of James G Dickerson SR. are for informational purposes only.