Individual
TIALISA LYNN BITTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
17909 BURKE ST, OMAHA, NE 68118-2252
(402) 289-0808
(402) 289-3551
Mailing address
17909 BURKE ST, OMAHA, NE 68118-2252
(402) 289-0808
(402) 289-3551
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11226
NE
183500000X
Pharmacist
18980
IA
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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