Individual
MRS. DEBRA JEAN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RP
Contact information
Practice address
238 S 8TH ST, BLAIR, NE 68008-2410
(402) 426-9066
(402) 426-9069
Mailing address
8962 COUNTY ROAD 3, NICKERSON, NE 68044-2511
(402) 478-4134
(402) 478-4134
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8975
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47080946600
—
NE
Enumeration date
09/25/2006
Last updated
02/17/2011
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