Individual
DYANNE MICHELE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
201 PONY EXPRESS LN, OGALLALA, NE 69153-3101
(402) 641-6145
Mailing address
707 W 3RD ST, OGALLALA, NE 69153-2428
(402) 641-6145
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15769
NE
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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