James William Dent, PHARM. D

Individual provider Active NPI Pharmacist · Offutt Afb, NE

NPI 1972930865 · NPPES record last updated Oct 9, 2013

Key facts

NPI
1972930865
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
1-15823 (KS)
Practice address
2501 Capehart Rd
Offutt Afb, NE 68113
Phone
(402) 294-7358
NPI assigned
Oct 9, 2013
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
1-15823KSMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1-15823 KS Yes

Addresses

Primary practice location

2501 Capehart Rd
Offutt Afb, NE 68113

Mailing address

2501 Capehart Rd
Offutt Afb, NE 68113-1043
Phone (402) 294-7358

Other providers in Offutt Afb, NE

All providers in Offutt Afb, NE · Pharmacist in Nebraska

Sources for this page

Verify at the official NPI Registry.