Individual
DANIEL BREDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8380 HARRISON ST, LA VISTA, NE 68128-2918
(402) 592-7990
Mailing address
3535 N 175TH CT APT 332, OMAHA, NE 68116-2203
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13378
NE
183500000X
Pharmacist
21244
IA
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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