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Individual

ROBERT WISE

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
7828 S 159TH ST, OMAHA, NE 68136-3195
(402) 350-9689

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14254
NE

Other

Enumeration date
11/04/2013
Last updated
11/04/2013
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