Individual
DAVID LIEBSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12850 L ST, OMAHA, NE 68137-2078
(402) 697-1742
Mailing address
12850 L ST, OMAHA, NE 68137-2078
(402) 697-1742
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
16874
IA
183500000X
Pharmacist
Primary
9650
NE
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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