Individual
BEN WAYNE KISTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
808 N DIERS AVE, GRAND ISLAND, NE 68803-4955
(308) 381-2225
Mailing address
808 N DIERS AVE, GRAND ISLAND, NE 68803-4955
(308) 381-2225
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8978
NE
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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