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Individual

ROXANNE R MADSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6905 S 36TH ST, BELLEVUE, NE 68147-1231
(402) 734-7592
(402) 734-5784
Mailing address
7828 S 91ST CIR, LA VISTA, NE 68128-4216
(402) 339-8371

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10278
NE

Other

Enumeration date
10/28/2011
Last updated
10/28/2011
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