BRUCE S GOLDBERG

OMAHA, NE
NPI1649286832
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: NE  9780)
Additional Taxonomies183500000X Pharmacist
(Licence: IA  16516)
Enumeration Date2006-07-31
Last Update Date2007-07-08
Business Address
-- BRUCE S GOLDBERG
1314 RIDGEWOOD AVE
OMAHA, NE 68124-1315
Phone number: 402-968-4574
Mailing Address
-- BRUCE S GOLDBERG
PO BOX 241148
OMAHA, NE 68124-5148
Phone number: 402-968-4574