Individual
VASANTA CHIGURUPATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15525 SPAULDING PLZ, OMAHA, NE 68116-6211
(402) 408-1078
Mailing address
19015 NICHOLAS CIR, ELKHORN, NE 68022-3940
(402) 996-0795
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12614
NE
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
12614
NE
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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