Individual
PATRICIA ELLEN PENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
13450 W MAPLE RD, OMAHA, NE 68164-2420
(402) 492-2605
(402) 445-2514
Mailing address
13450 W MAPLE RD, OMAHA, NE 68164-2420
(402) 492-2605
(402) 445-2514
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11493
NE
Other
Enumeration date
02/21/2010
Last updated
02/21/2010
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