Individual
MR. PAUL J BAVARESCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 346-8800
(402) 977-5638
Mailing address
7433 ROGERS RD, OMAHA, NE 68124-3417
(402) 397-6691
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7798
NE
Other
Enumeration date
06/21/2006
Last updated
07/08/2007
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