Individual
KAY HEIMBOUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 W 27TH ST, SCOTTSBLUFF, NE 69361-4307
(308) 635-3296
(308) 635-3891
Mailing address
205 W 27TH ST, SCOTTSBLUFF, NE 69361-4307
(308) 635-3296
(308) 635-3891
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8845
NE
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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