Individual
SUZANNE MARIE WILSON WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
305 S 68TH ST, OMAHA, NE 68132-3305
(402) 554-1135
Mailing address
305 S 68TH ST, OMAHA, NE 68132-3305
(402) 554-1135
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
9917
NE
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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