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Individual

MARY ANN HALDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3400 N 85TH ST, LINCOLN, NE 68507-9457
(402) 466-0095
Mailing address
9630 FAIRBURY LN, LINCOLN, NE 68516-9437
(515) 564-9776

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13634
NE

Other

Enumeration date
12/07/2017
Last updated
12/07/2017
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