Individual
MRS. LAURA ANN MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 995-4372
Mailing address
14942 ELLISON AVE, OMAHA, NE 68116-4532
(402) 305-4991
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13152
NE
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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