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Individual

LUCAS CALE WEEDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD, RPH.

Contact information

Practice address
13660 CALIFORNIA ST, OMAHA, NE 68154-5233
(402) 964-9030
Mailing address
2111 ATWOOD LN, LINCOLN, NE 68521-5016
(402) 631-9162

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
12974
NE

Other

Enumeration date
03/30/2012
Last updated
03/30/2012
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