Individual
MR. JAMES LEWIS DICKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
101 ASBURY ST, TALLADEGA, AL 35160-2570
(256) 362-9540
(256) 362-9905
Mailing address
1500 W MAGNOLIA DR, SYLACAUGA, AL 35150-4577
(256) 249-0270
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9517
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9517
PHARMACIST LICENSE NUMBER
AL
Enumeration date
03/22/2011
Last updated
03/22/2011
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