OrganizationActive
Medication Therapy Management
NPI 1700322393 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Omaha, NE
Provider details
- NPI number
- 1700322393
- Entity type
- Organization
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Organization subpart
- No
- Authorized official
- Kenneth Saunders, Tobacco Cessation Counselor(402) 651-6724
- License
- 9752 (NE)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
2631 N 157th St
Omaha, NE 68116-2029
Phone: (402) 651-6724
Approximate (ZIP-level) locationGet directions
Mailing address
2631 N 157th St
Omaha, NE 68116-2029
Registry dates
- Enumerated
- 2017-01-06
- Last updated
- 2017-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.