Individual
KENNETH RAY MCELHOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1900 E MILITARY, MILLER PHARMACY INC, FREMONT, NE 68025-5494
(402) 721-1100
(402) 721-0861
Mailing address
5304 VENTURA DRIVE, FREMONT, NE 68025-9778
(402) 721-2108
(402) 721-2288
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
6939
NM
183500000X
Pharmacist
Primary
7744
NE
183500000X
Pharmacist
P6057
ID
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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