Individual
NICHOLAS DEAN MIESBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
12119 S 213TH AVE, GRETNA, NE 68028-3783
(402) 259-0601
(402) 506-7933
Mailing address
12119 S 213TH AVE, GRETNA, NE 68028-3783
(402) 230-7812
(402) 506-7933
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16521
NE
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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