Individual
MRS. MARY COLEEN JUNGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2501 CAPEHART RD, OFFUTT A F B, NE 68113-1043
(402) 294-7358
Mailing address
11906 S 53RD ST, BELLEVUE, NE 68133-4754
(402) 991-7833
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11314
NE
Other
Enumeration date
09/13/2007
Last updated
09/26/2007
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