Individual
TRACY LEE BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
14303 U ST, OMAHA, NE 68137-2666
(402) 895-0181
Mailing address
1755 RIDGEWOOD AVE, OMAHA, NE 68124-1320
(402) 305-9822
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13120
NE
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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