Individual
MRS. HEATHER ANDSAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13360 CALIFORNIA STREET, OMAHA, NE 68154
(402) 965-8800
Mailing address
13360 CALIFORNIA STREET, OMAHA, NE 68154
(402) 965-8800
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
1716
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1716
PHARMACY TECHNICIAN STATE LICENSE
NE
Enumeration date
10/14/2014
Last updated
10/17/2014
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