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Individual

MRS. AMANDA M AKIENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPHT

Contact information

Practice address
3300 MUTUAL OF OMAHA PLZ, OMAHA, NE 68175-0002
(402) 351-8431
Mailing address
3300 MUTUAL OF OMAHA PLZ, OMAHA, NE 68175-0002
(402) 351-8431

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
560107010223989
PTCB
Enumeration date
08/06/2014
Last updated
07/22/2021
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