Individual
MR. EUGENE JOSEPH CRISAFULLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
15519JACKSON CIRCLE, OMAHA, NE 68154
(402) 216-4055
(402) 919-9030
Mailing address
PO BOX 103, BOYS TOWN, NE 68010-0103
(402) 216-4055
(402) 919-9030
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10464
NE
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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