Healthcare Provider Details

I. General information

NPI: 1356802581
Provider Name (Legal Business Name): LEAH POHLMEIER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2019
Last Update Date: 03/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 Q ST
AURORA NE
68818-1118
US

IV. Provider business mailing address

219 Q ST
AURORA NE
68818-1118
US

V. Phone/Fax

Practice location:
  • Phone: 402-694-3187
  • Fax:
Mailing address:
  • Phone: 402-694-3187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number14543
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: