Individual
MY TO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5002 DODGE ST, OMAHA, NE 68132-2906
(402) 553-8901
Mailing address
11004 WINDWARD AVE, PAPILLION, NE 68046-5910
(402) 202-4808
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17615
NE
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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