Individual
CANDICE MARIAH NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8300 NORTHERN LIGHTS DR, LINCOLN, NE 68505-3705
(402) 464-8302
Mailing address
8300 NORTHERN LIGHTS DR, LINCOLN, NE 68505-3705
(402) 464-8302
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15845
NE
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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