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Individual

BRADLEY LUTHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
3701 N 132ND ST, OMAHA, NE 68164-1849
(402) 431-0655
Mailing address
11726 S 203RD ST, GRETNA, NE 68028-4956
(605) 261-9055

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13864
NE

Other

Enumeration date
10/18/2011
Last updated
09/11/2013
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