Individual
BO JANSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 S 77TH ST, OMAHA, NE 68114-4579
(402) 397-5056
Mailing address
240 S 77TH ST, OMAHA, NE 68114-4579
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16776
NE
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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