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Individual

MARION MAX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
1600 S 48TH ST, LINCOLN, NE 68506-1283
(712) 215-0685
Mailing address
9636 SAINT CLEMENT CIR, LINCOLN, NE 68526-9765
(712) 215-0685

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
13917
NE
183500000X
Pharmacist
16820-40
WI
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
13917
NE
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
16820-40
WI
1835P1200X
Pharmacotherapy Pharmacist
13917
NE
1835P1200X
Pharmacotherapy Pharmacist
16820-40
WI

Other

Enumeration date
02/26/2014
Last updated
02/26/2014
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