Individual
ANITHA JWALANAIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7527 UPTON GREY LN, LINCOLN, NE 68516-5695
(402) 421-2993
Mailing address
7527 UPTON GREY LN, LINCOLN, NE 68516-5695
(402) 421-2993
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11884
NE
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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