Provider Demographics
NPI:1619522273
Name:DIXON, JAMES OMER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:OMER
Last Name:DIXON
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 13
Mailing Address - Street 2:
Mailing Address - City:WELLBORN
Mailing Address - State:TX
Mailing Address - Zip Code:77881-0013
Mailing Address - Country:US
Mailing Address - Phone:432-553-7262
Mailing Address - Fax:
Practice Address - Street 1:2000 S GREGG ST
Practice Address - Street 2:
Practice Address - City:BIG SPRING
Practice Address - State:TX
Practice Address - Zip Code:79720-5437
Practice Address - Country:US
Practice Address - Phone:432-263-3020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-09
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65349183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist