Individual
DR. KELLY K. NYSTROM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
CREIGHTON UNIVERSITY - PHARMACY PRACTICE DEPARTMEN, 2500 CALIFORNIA PLAZA, OMAHA, NE 68178-0001
(402) 398-5747
(402) 398-5928
Mailing address
CREIGHTON UNIVERSITY - PHARMACY PRACTICE DEPARTMEN, 2500 CALIFORNIA PLAZA, OMAHA, NE 68178-0001
(402) 398-5747
(402) 398-5928
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11081
NE
Other
Enumeration date
12/20/2005
Last updated
07/08/2007
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