Individual
DR. ELLYETTE G SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9707 Q ST, OMAHA, NE 68127-3272
(402) 339-3054
(402) 331-6375
Mailing address
9707 Q ST, OMAHA, NE 68127-3272
(402) 339-3054
(402) 331-6375
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12503
NE
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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