Individual
CHARLEEN BAO TRAN PHAN-CAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4808 O ST, LINCOLN, NE 68510-1908
(402) 467-1134
Mailing address
5820 S 80TH ST, LINCOLN, NE 68516-3813
(402) 617-5956
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14967
NE
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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