Individual
NICHOLE LEA HEINZ III
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 S 69TH STREET, OMAHA, NE 68132-3317
(402) 660-4312
Mailing address
125 S 69TH ST, OMAHA, NE 68132-3317
(402) 660-4312
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11806
NE
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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