Individual
JEROD ALAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11838 ARBOR ST, OMAHA, NE 68144-2937
(402) 330-2860
Mailing address
11838 ARBOR ST, OMAHA, NE 68144-2937
(402) 330-2860
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
1031
NE
Other
Enumeration date
01/24/2021
Last updated
01/24/2021
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