Individual
EMMANUEL S KUVETAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2929 N 60TH ST, OMAHA, NE 68104-3414
(402) 551-6151
(402) 556-6389
Mailing address
2929 N 60TH ST, OMAHA, NE 68104-3414
(402) 551-6151
(402) 556-6389
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14912
NE
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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