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Individual

BRUCE S GOLDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1314 RIDGEWOOD AVE, OMAHA, NE 68124-1315
(402) 968-4574
Mailing address
PO BOX 241148, OMAHA, NE 68124-5148
(402) 968-4574

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
16516
IA
183500000X
Pharmacist
Primary
9780
NE

Other

Enumeration date
07/31/2006
Last updated
07/08/2007
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