Individual
JASON PAUL ENDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2701 S 10TH ST, OMAHA, NE 68108-1610
(402) 342-1731
Mailing address
210 BANCROFT PLZ, OMAHA, NE 68108-1737
(402) 346-8030
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12108
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47060386000
—
NE
Enumeration date
11/10/2006
Last updated
07/08/2007
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