Individual
MICAH JAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, RP
Contact information
Practice address
7334 S 32ND ST, LINCOLN, NE 68516-4870
(402) 488-2629
Mailing address
7334 S 32ND ST, LINCOLN, NE 68516-4870
(402) 488-2629
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12472
NE
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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