Individual
JOANNA RUTH GROOMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 S 23RD ST, PLATTSMOUTH, NE 68048-2903
(402) 296-6256
(402) 296-6262
Mailing address
211 S 23RD ST, PLATTSMOUTH, NE 68048-2903
(402) 296-6256
(402) 296-6262
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11856
NE
183500000X
Pharmacist
19846
IA
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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