Individual
KELLI DIERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
818 E 23RD ST, COLUMBUS, NE 68601-3866
Mailing address
818 E 23RD ST, COLUMBUS, NE 68601-3866
(402) 563-4571
(402) 563-3951
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12590
NE
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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