Individual
THOMAS ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 995-3154
Mailing address
5107 N 142ND ST, OMAHA, NE 68164-6094
(402) 515-8407
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13110
NE
Other
Enumeration date
04/05/2010
Last updated
04/05/2010
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