Individual
MRS. KERI DEAN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RP
Contact information
Practice address
7710 MERCY RD, OMAHA, NE 68124-2372
(402) 398-6781
Mailing address
7840 HIMEBAUGH AVE, OMAHA, NE 68134-2265
(402) 571-6904
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9664
NE
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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