Individual
KIMBERLY HAYWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
17909 BURKE ST, OMAHA, NE 68118-2252
(402) 289-0808
Mailing address
19115 PINEHURST AVE, OMAHA, NE 68130-2971
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
114271
KS
183500000X
Pharmacist
Primary
12661
NE
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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