Individual
LAURA B SUNDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 N 132ND ST, OMAHA, NE 68164-1849
(402) 431-0655
Mailing address
3105 S 121ST ST, OMAHA, NE 68144-3983
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14237
NE
183500000X
Pharmacist
22101
IA
Other
Enumeration date
11/03/2013
Last updated
11/03/2013
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