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1194830653
JOHN TIMOTHY BOURKE
OMAHA, NE
NPI
1194830653
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NE 4787)
Enumeration Date
2006-08-21
Last Update Date
2007-07-08
Business Address
-- JOHN TIMOTHY BOURKE RP
2915 GRANT ST
OMAHA, NE 68111-3863
Phone number: 402-451-3553
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Mailing Address
-- JOHN TIMOTHY BOURKE RP
PO BOX 111609 2915 GRANT STREET
OMAHA, NE 68111-5609
Phone number: 402-451-3553
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