Individual
HALEY PERTZBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
171 S 90TH ST APT 348, LINCOLN, NE 68520-8312
(515) 783-3585
Mailing address
171 S 90TH ST APT 348, LINCOLN, NE 68520-8312
(515) 783-3585
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24836
IA
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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