Individual
DR. JUSTIN MATTHEW FRAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 995-5206
Mailing address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
11900
NE
1835P1200X
Pharmacotherapy Pharmacist
Primary
11900
NE
Other
Enumeration date
04/13/2006
Last updated
02/18/2014
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