Individual
CASSANDRA KORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
803 PROVIDENCE RD STE 101, WAYNE, NE 68787-1590
(402) 375-8862
Mailing address
803 PROVIDENCE RD STE 101, WAYNE, NE 68787-1590
(402) 375-8862
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13019
NE
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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