Individual
ASHLEIGH GRAMMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(314) 302-8889
Mailing address
2121 S 64TH PLZ APT 403, OMAHA, NE 68106-2936
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16467
NE
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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