DR. James G Dickerson SR.

NPI #1073508289 in Omaha, Nebraska

Provider Information

NPI Number: 1073508289
Entity Type: Individual
Name: DR. James G Dickerson SR.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Pharmacist
Enumeration Date: Sep 14, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 601 N 30TH ST
Address 2: SUITE 2807
City: Omaha
State: Nebraska
ZIP Code: 68131-2137
Phone: (402) 449-4560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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