Individual
AMANDA M HERDZINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 995-3154
Mailing address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 995-3154
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13149
NE
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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