Individual
CASEY KOIZUMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7045 O ST, LINCOLN, NE 68510
(402) 484-8222
Mailing address
7045 O ST, LINCOLN, NE 68510-2426
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15372
NE
Other
Enumeration date
11/15/2017
Last updated
05/17/2018
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