Individual
SAMANTHA ANN KANALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13105 BIRCH DR, OMAHA, NE 68164-5222
(402) 686-2058
Mailing address
13105 BIRCH DR, OMAHA, NE 68164-5222
(402) 686-2058
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17978
NE
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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