Individual
MARK ALAN MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8700 ANDERMATT DR, LINCOLN, NE 68526-9653
(402) 484-6342
(402) 484-6349
Mailing address
9415 DEL RIO DR, LINCOLN, NE 68516-5997
(402) 646-5988
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14456
NE
Other
Enumeration date
11/08/2020
Last updated
11/08/2020
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