Individual
CHARRISE BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
3003 N 108TH ST, OMAHA, NE 68164-3711
(402) 493-3952
Mailing address
16337 MANDERSON ST, OMAHA, NE 68116-2901
(402) 502-0364
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10310
NE
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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