Individual
JESSIE LYNN BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2501 CAPEHART RD, OFFUTT AFB, NE 68113-1043
(402) 294-6033
Mailing address
5652 S 209TH CIR, ELKHORN, NE 68022-3133
(402) 884-0841
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5340
SD
Other
Enumeration date
02/15/2007
Last updated
04/13/2018
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