Individual
ELIZABETH ANN WIEDERIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
989200 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-9200
(402) 552-7999
(402) 552-7792
Mailing address
989200 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-9200
(402) 552-7999
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14603
NE
183500000X
Pharmacist
22288
IA
183500000X
Pharmacist
60330
TX
Other
Enumeration date
05/08/2020
Last updated
07/24/2020
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