Individual
JOHN TIMOTHY BOURKE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RP
Contact information
Practice address
2915 GRANT ST, OMAHA, NE 68111-3863
(402) 451-3553
(402) 453-2061
Mailing address
PO BOX 111609, 2915 GRANT STREET, OMAHA, NE 68111-5609
(402) 451-3553
(402) 453-2061
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4787
NE
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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