Individual
MS. KELLY ZACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3001 DODGE ST, OMAHA, NE 68131-2627
(402) 343-3301
(402) 342-3455
Mailing address
9719 S 123RD AVE, PAPILLION, NE 68046-4494
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16057
NE
Other
Enumeration date
09/15/2011
Last updated
08/09/2021
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