Individual
TAYSHA COLGROVE I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17810 W CENTER RD, OMAHA, NE 68130-2308
(402) 697-4876
(402) 972-4488
Mailing address
17810 W CENTER RD, OMAHA, NE 68130-2308
(402) 697-4876
(402) 972-4488
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
6232
NE
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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