Individual
MARK ALVIN TITCHENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4700 N 27TH ST, LINCOLN, NE 68521-1190
(402) 348-3477
Mailing address
8860 HIMARK LN, LINCOLN, NE 68526-1036
(307) 631-6569
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13088
NE
Other
Enumeration date
11/25/2017
Last updated
11/25/2017
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