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Individual

LINDA CARMELA MYERS-BOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.P.

Contact information

Practice address
3010 23RD ST, COLUMBUS, NE 68601-3122
(402) 562-7668
(402) 563-0915
Mailing address
3554 25TH AVE., COLUMBUS, NE 68601
(402) 562-7668
(402) 563-0915

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10519
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10519
PHARMACY LISCENSE NUMBER
NE
Enumeration date
03/27/2007
Last updated
07/08/2007
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