Individual
JOSE GUERRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
423 W 4TH ST, GRAND ISLAND, NE 68801-4503
(308) 384-7372
(308) 384-6067
Mailing address
423 W 4TH ST, GRAND ISLAND, NE 68801-4503
(308) 384-7372
(308) 384-6067
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
13419
NE
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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