Individual
FRED HENRY HAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
11120 SAHLER ST, OMAHA, NE 68164-2319
(402) 496-1675
Mailing address
11120 SAHLER ST, OMAHA, NE 68164-2319
(402) 496-1675
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
28308
MO
183500000X
Pharmacist
Primary
9210
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28308
PHARMACIST
MO
01
—
9210
PHARMACIST
NE
Enumeration date
01/12/2013
Last updated
01/12/2013
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