Individual
STEPHANIE OLIVIA POPKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
17909 BURKE ST, OMAHA, NE 68118-2252
(402) 289-0808
Mailing address
922 N 95TH PLZ, APT 3, OMAHA, NE 68114-2559
(402) 305-1126
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13648
NE
183500000X
Pharmacist
21474
IA
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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