Individual
STACIE SUE JURRENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5010 O ST, LINCOLN, NE 68510-1951
(402) 465-0413
Mailing address
5010 O ST, LINCOLN, NE 68510-1951
(402) 465-0413
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11504
NE
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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