Individual
BRIAN FOCHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2323 L ST, OMAHA, NE 68107-1847
(402) 738-8061
Mailing address
6742 S 188TH AVE, OMAHA, NE 68135-4128
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13437
NE
183500000X
Pharmacist
21289
IA
Other
Enumeration date
12/24/2011
Last updated
12/24/2011
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