Wayne L Tate, PharmD, MBA
Pharmacist in Omaha, NE. Individual provider (NPI-1).
NPI number1982144960
StatusActive
Last updated in NPPESFeb 24, 2017
Details
- NPI
- 1982144960
- Entity type
- Individual (NPI-1)
- Name
- Mr. Wayne L Tate
- Credential
- PharmD, MBA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 24, 2017
- Last updated
- Feb 24, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 11913 | NE | Yes |
| 1835P0018X | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 11913 | NE |
Practice location
2915 Grant StOmaha, NE 68111-3863
Phone 402-451-3553
Mailing address
Po Box 34853Omaha, NE 68134-0853
Phone 402-250-1668
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