Individual
MANDY HURLBURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3501 S LOCUST ST, GRAND ISLAND, NE 68801-8853
(308) 381-5859
Mailing address
3501 S LOCUST ST, GRAND ISLAND, NE 68801-8853
(308) 381-5859
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12372
NE
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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