Individual
JOHN MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
10725 FORT ST, OMAHA, NE 68134-1229
(402) 496-2214
Mailing address
1010 S 117TH CIR, OMAHA, NE 68154-3402
(402) 661-9553
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18069
NE
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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