Individual
CHAO YUAN KU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 S 45TH ST, OMAHA, NE 68198-2002
(402) 559-0900
Mailing address
505 S 45TH ST, OMAHA, NE 68198-2002
(402) 559-0900
Taxonomy
Speciality
Code
Description
License number
State
1835C0205X
Critical Care Pharmacist
18879
MD
1835X0200X
Oncology Pharmacist
Primary
14750
NE
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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