Individual
JON KNEZEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
4101 WOOLWORTH AVE, PHARMACY DEPARTMENT, OMAHA, NE 68105-1850
(402) 995-3902
(402) 977-5638
Mailing address
4101 WOOLWORTH AVE, PHARMACY DEPARTMENT, OMAHA, NE 68105-1850
(402) 995-3902
(402) 977-5638
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
12755
NE
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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