Individual
STACI L HUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD.
Contact information
Practice address
1401 SILVER ST, ASHLAND, NE 68003-1845
(402) 944-3303
(402) 944-9413
Mailing address
23561 PRAIRIE RIDGE RD, GRETNA, NE 68028-4328
(402) 332-4857
(402) 944-9413
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10810
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10810
STATE LICENSE NUMBER
NE
Enumeration date
10/17/2006
Last updated
07/08/2007
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