Healthcare Provider Details

I. General information

NPI: 1659881506
Provider Name (Legal Business Name): MARGO MARIE HEPPLER RP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2017
Last Update Date: 10/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 S 48TH ST
LINCOLN NE
68506-1283
US

IV. Provider business mailing address

818 S 113TH AVENUE CIR
OMAHA NE
68154-1561
US

V. Phone/Fax

Practice location:
  • Phone: 402-481-3147
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number70453
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number13223
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: