Individual
TARA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8480 ANDERMATT DR, LINCOLN, NE 68526-9755
(402) 975-6908
(402) 975-6903
Mailing address
8480 ANDERMATT DR, LINCOLN, NE 68526-9755
(402) 975-6908
(402) 975-6903
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13082
NE
183500000X
Pharmacist
22984
IA
Other
Enumeration date
12/09/2017
Last updated
12/09/2017
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