Individual
MARY A HORRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2609 N 153RD AVE, OMAHA, NE 68116-7120
(402) 408-1078
(402) 408-1082
Mailing address
2609 N 153RD AVE, OMAHA, NE 68116-7120
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10208
NE
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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