Individual
MARTIN GILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 N DIERS AVE, GRAND ISLAND, NE 68803-1258
(402) 650-6318
Mailing address
15521 S 79TH CIR, PAPILLION, NE 68046-4642
(402) 650-6318
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16219
NE
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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