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MRS. DEBRA JEAN CARLSON RP

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1679673883

Individual Registrant:
MRS. DEBRA JEAN CARLSON RP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
238 S 8TH ST  BLAIR, NE 68008-2410 US
Tel: 402-426-9066  Fax: 402-426-9069

Contact information for business:
8962 COUNTY ROAD 3  NICKERSON, NE 68044-2511 US
Tel: 402-478-4134  Fax: 402-478-4134

Registration Information:
NPI: 1679673883
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
NE8975

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
47080946600NE05




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