Individual
JACQUELYN THOMSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 995-4372
Mailing address
2511 N 184TH ST, ELKHORN, NE 68022-3809
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24539
IA
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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