Individual
LESLIE ANNE CHUDOMELKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5062 S 155TH ST, OMAHA, NE 68137-5002
(402) 861-6966
Mailing address
5062 S 155TH ST, OMAHA, NE 68137-5002
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16885
NE
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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