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Urology Center, PC

Non-Pharmacy Dispensing Site in Omaha, NE. Organization (NPI-2).

NPI number1669946398
StatusActive
Last updated in NPPESJan 16, 2019

Details

NPI
1669946398
Entity type
Organization (NPI-2)
Legal business name
Urology Center, PC
Organization subpart
Yes
Enumeration date
Jan 16, 2019
Last updated
Jan 16, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332900000X Non-Pharmacy Dispensing Site––Yes

Other names

  • Urology Center, PC - Iod (Other Name)

Practice location

105 S 90th St
Omaha, NE 68114-3963

Phone 402-397-9800 · Fax 402-397-7591

Mailing address

111 S 90th St
Omaha, NE 68114-3907

Phone 402-397-9800 · Fax 402-397-9800

Authorized official

Laura J. Forehead
Administrator
4023979800

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