Individual
KRISTEN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4225 S 57TH ST, OMAHA, NE 68117-1363
(615) 516-6464
Mailing address
10112 VIRGINIA ST, LA VISTA, NE 68128-3231
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202211369
VA
183500000X
Pharmacist
14471
NE
Other
Enumeration date
12/27/2012
Last updated
05/22/2014
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