Individual
SHANNA MICHAELA NIEDBALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3010 23RD ST, COLUMBUS, NE 68601-3122
(402) 562-7668
(402) 563-0915
Mailing address
2653 PRAIRIE PL, COLUMBUS, NE 68601-2440
(402) 606-4062
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12523
NE
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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