Individual
DR. NATHAN L SUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2115 S 61ST ST, OMAHA, NE 68106-2129
(308) 218-1527
Mailing address
2115 SOUTH 61ST STREET, RPM, OMAHA, NE 68106
(308) 218-1527
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16494
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16494
PHARMACIST LICENSE NUMBER
NE
Enumeration date
01/07/2020
Last updated
01/07/2020
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