Individual
FRED H EBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12300 W DODGE RD, OMAHA, NE 68154-2382
(402) 952-3249
(402) 952-3246
Mailing address
12300 W DODGE RD, OMAHA, NE 68154-2382
(402) 952-3249
(402) 952-3246
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
14861
IA
183500000X
Pharmacist
Primary
8670
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8670
STATE OF NEBRASKA BOARD OF PHARMACY LICENCE NUMBER
NE
Enumeration date
03/18/2012
Last updated
03/18/2012
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