Individual
COURTNEY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD RPH
Contact information
Practice address
333 N 48TH ST, LINCOLN, NE 68504-3505
(402) 464-8066
Mailing address
333 N 48TH ST, LINCOLN, NE 68504-3505
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15396
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15396
PHARMACIST LICENSE
NE
Enumeration date
08/24/2018
Last updated
08/24/2018
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