Individual
DR. MARK V SIRACUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3701 N 132ND ST, OMAHA, NE 68164-1849
(402) 431-0655
Mailing address
5620 N 162ND ST, OMAHA, NE 68116-3740
(402) 934-5489
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11836
NE
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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