Individual
NATHAN BAHENSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
3501 S LOCUST ST, GRAND ISLAND, NE 68801-8853
(308) 381-5859
(308) 381-5861
Mailing address
3501 S LOCUST ST, GRAND ISLAND, NE 68801-8853
(308) 381-5859
(308) 381-5861
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13679
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13679
STATE LICENSE NUMBER
NE
Enumeration date
08/20/2014
Last updated
08/20/2014
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