Individual
KEVIN CARL BORCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6103 S 102ND ST, OMAHA, NE 68127-5408
(402) 290-2635
Mailing address
6103 S 102ND ST, OMAHA, NE 68127-5408
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9980
NE
Other
Enumeration date
09/25/2017
Last updated
09/25/2017
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