Individual
JENNIE MARIE ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1600 S 48TH ST, LINCOLN, NE 68506-1283
(801) 361-4142
Mailing address
1600 S 48TH ST, LINCOLN, NE 68506-1283
(801) 361-4142
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13576
NE
183500000X
Pharmacist
67298201701
UT
183500000X
Pharmacist
67298208911
UT
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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