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Individual

ANTHONY BERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
12300 W DODGE RD, OMAHA, NE 68154-2382
(402) 952-3249
(402) 952-3246
Mailing address
12300 W DODGE RD, OMAHA, NE 68154-2382
(402) 952-3249
(402) 952-3246

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11862
NE

Other

Enumeration date
09/27/2011
Last updated
09/27/2011
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