Individual
TRACIE BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
11838 ARBOR ST, OMAHA, NE 68144-2937
(402) 850-1727
Mailing address
11838 ARBOR ST, OMAHA, NE 68144-2937
(402) 850-1727
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10484
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10484
183500000X-PHARMACIST
NE
Enumeration date
01/17/2023
Last updated
01/17/2023
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