Individual
SCOTT LOUDERBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
5625 O ST, SUITE 101, LINCOLN, NE 68510-2196
(402) 488-1184
Mailing address
5625 O ST, SUITE 101, LINCOLN, NE 68510-2196
(402) 488-1184
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11025
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11025
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES
NE
Enumeration date
11/07/2016
Last updated
11/07/2016
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