Individual
KIMBERLY NICOLE BOGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1417 N 128TH CIR, OMAHA, NE 68154-3609
(402) 709-5884
Mailing address
1417 N 128TH CIR, OMAHA, NE 68154-3609
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12726
NE
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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