Individual
MARY LOUISE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
601 N 30TH ST, OMAHA, NE 68131-2137
(402) 449-4567
Mailing address
17604 S ST, OMAHA, NE 68135-2841
(402) 896-5065
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9953
NE
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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