Individual
DR. STACY LYNNE SOUERDYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
348 N CENTRAL AVE, SUPERIOR PHARMACY, SUPERIOR, NE 68978-1715
(402) 879-4234
Mailing address
5500 ROAD M, HEBRON, NE 68370-1059
(402) 365-7248
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11763
NE
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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