Individual
MISS MCKINZEE A ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.PH.T
Contact information
Practice address
13660 CALIFORNIA ST., OMAHA, NE 68154
(800) 546-5677
(866) 632-7946
Mailing address
PO BOX 407, BOYS TOWN, NE 68010-0407
(800) 546-5677
(866) 632-7946
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
480
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480
STATE LICENSE
NE
01
—
4901-0701-0031-564
CERTIFICATION NUMBER
NE
Enumeration date
04/10/2012
Last updated
10/20/2014
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