Individual
DR. GARY LEE MITCHELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2200 H ST, FAIRBURY, NE 68352-1119
(402) 729-3354
Mailing address
922 8TH ST, FAIRBURY, NE 68352-2430
(402) 729-3354
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8571
NE
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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