FRED HENRY HAM

OMAHA, NE
NPI1912244872
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: NE  9210)
Additional Taxonomies183500000X Pharmacist
(Licence: MO  28308)
Enumeration Date2013-01-12
Last Update Date2013-01-12
Business Address
-- FRED HENRY HAM RPH
11120 SAHLER ST
OMAHA, NE 68164-2319
Phone number: 402-496-1675
Mailing Address
-- FRED HENRY HAM RPH
11120 SAHLER ST
OMAHA, NE 68164-2319
Phone number: 402-496-1675
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