Individual
DR. JOHN MATTHEW GUZALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
601 N 30TH ST, OMAHA, NE 68131-2137
(402) 449-4567
Mailing address
3630 N 104TH AVE, OMAHA, NE 68134-7102
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12535
NE
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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