Individual
JACQUELINE GELLATLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 N DIERS AVE, GRAND ISLAND, NE 68803-1258
(308) 381-0337
(308) 381-0322
Mailing address
2250 N DIERS AVE, GRAND ISLAND, NE 68803-1258
(308) 381-0337
(308) 381-0322
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11162
NE
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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