Individual
BRENDA DOLEZAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 RED ROCK LN, LINCOLN, NE 68516-6512
(402) 421-2122
Mailing address
6165 LAROCHE RD, LINCOLN, NE 68526-6058
(402) 429-7341
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10732
NE
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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