Individual
DR. JAMES G DICKERSON SR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 N 30TH ST, SUITE 2807, OMAHA, NE 68131-2137
(402) 449-4560
(402) 449-4531
Mailing address
15001 S HIGHWAY 31, GRETNA, NE 68028-6312
(402) 672-4636
(402) 449-4531
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
12903
IA
183500000X
Pharmacist
Primary
7632
NE
Other
Enumeration date
09/14/2005
Last updated
07/08/2007
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