Individual
DR. TRISTA KALTENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4001 N 132ND ST, OMAHA, NE 68164-1839
(605) 205-0603
Mailing address
506 N 2ND ST, BERESFORD, SD 57004-1406
(605) 205-0603
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16584
NE
183500000X
Pharmacist
23792
IA
183500000X
Pharmacist
6730
SD
Other
Enumeration date
04/11/2020
Last updated
04/11/2020
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