Individual
MR. MAYNARD ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
106 PEACEKEEPER DR, OFFUTT AFB, NE 68113-3299
(402) 294-3229
(402) 294-0711
Mailing address
12815 EAGLE RUN DR, OMAHA, NE 68164-4230
(402) 294-3229
(402) 294-0711
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18910
IA
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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