Individual
GAGE ROBERT THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1525 E 23RD ST, FREMONT, NE 68025-2434
(402) 721-8872
Mailing address
6505 N 155TH CT APT 10202, OMAHA, NE 68116-4638
(402) 681-5481
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17639
NE
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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