Individual
JENNIFER BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17810 W CENTER RD, OMAHA, NE 68130-2308
(402) 697-4876
Mailing address
17810 W CENTER RD, OMAHA, NE 68130-2308
(402) 697-4876
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12319
NE
Other
Enumeration date
06/30/2011
Last updated
03/08/2020
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