Individual
DR. CHANDA MARIE SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1710 S 70TH ST, LINCOLN, NE 68506
(402) 484-0912
(402) 484-0800
Mailing address
1710 S 70TH ST STE 200, LINCOLN, NE 68506-1682
(402) 484-0912
(402) 484-0800
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-16462
KS
183500000X
Pharmacist
Primary
15661
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-16462
KANSAS PHARMACY LICENSE
KS
01
—
15661
NEBRASKA PHARMACIST LICENSE
NE
Enumeration date
08/12/2014
Last updated
08/17/2018
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