Individual
GARIMA GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 MANAWA CENTRE DR, COUNCIL BLUFFS, IA 51501-7674
(712) 366-1315
Mailing address
3904 S 181ST ST, OMAHA, NE 68130-4206
(402) 612-7246
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
14068
NE
183500000X
Pharmacist
Primary
22394
IA
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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