Individual
BETH DVORAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6901 S 84TH ST, LA VISTA, NE 68128-2127
(402) 339-1090
(402) 339-1091
Mailing address
6901 S 84TH ST, LA VISTA, NE 68128-2127
(402) 339-1090
(402) 339-1091
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-14524
KS
183500000X
Pharmacist
Primary
14266
NE
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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