Individual
GERARDO MONTOYA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2307 23RD ST, COLUMBUS, NE 68601-3303
(402) 564-5105
(402) 564-5145
Mailing address
7614 JOSEPHINE ST, LA VISTA, NE 68128-2257
(402) 830-5973
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16282
NE
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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