Individual
STACY EBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
10808 FORT ST, OMAHA, NE 68164-2076
(402) 493-2323
Mailing address
10808 FORT ST, OMAHA, NE 68164-2076
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13390
NE
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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