Individual
DR. JOHN LOUIS PESTOTNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
8402 S 117TH ST STE 300, LA VISTA, NE 68128-5513
(402) 896-3636
Mailing address
8402 S 117TH ST STE 300, LA VISTA, NE 68128-5513
(402) 896-3636
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13468
NE
183500000X
Pharmacist
22159
IA
Other
Enumeration date
12/02/2020
Last updated
01/25/2021
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