Doctor Name: | MISS MCKINZEE A ABBOTT |
NPI Number: | 1710243191 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C.PH.T |
License Number: | 480 |
Business Practice Address: | 13660 California St. Omaha, NE - 68154 |
Business Phone Number: | 8005465677 |
Business Fax Number: | 8666327946 |
Mailing Address: | Po Box 407, BOYS TOWN |
State: | NE |
Postal Code: | 680100407 |
Phone Number: | 8005465677 |
Fax Number: | 8666327946 |
NPI Enumeration Date: | 04/10/2012 |
NPI Last Update Date: | 10/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 08/15/2014 |
NPI Reactivation Date: | 10/20/2014 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | 480 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacy Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |