IndividualActive
Beth Dvorak, PHARMD
NPI 1700411063 · Pharmacist · La Vista, NE
Provider details
- NPI number
- 1700411063
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1-14524 (KS)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
6901 S 84th St
La Vista, NE 68128-2127
Phone: (402) 339-1090
Fax: (402) 339-1091
Approximate (ZIP-level) locationGet directions
Mailing address
6901 S 84th St
La Vista, NE 68128-2127
Registry dates
- Enumerated
- 2020-03-06
- Last updated
- 2020-03-06
- Certified
- 2020-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.