Individual
MR. WARREN LEONARD WALLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
5225 NORTH 90 ST STREET, OMAHA, NE 68134
(402) 408-0304
(402) 408-0308
Mailing address
6238 NORTH 155 TH STREET, OMAHA, NE 68116-4447
(402) 571-8486
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9223
NE
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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