Individual
KENNETH FUCHTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4969 S 174TH AVE, OMAHA, NE 68135-3463
(402) 896-1097
Mailing address
4969 S 174TH AVE, OMAHA, NE 68135-3463
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8916
NE
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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