Healthcare Provider Details

I. General information

NPI: 1881780401
Provider Name (Legal Business Name): MEGAN ELIZABETH OBER RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 N. COTNER, SUITE 1
LINCOLN NE
68505
US

IV. Provider business mailing address

6531 S. 34TH
LINCOLN NE
68516
US

V. Phone/Fax

Practice location:
  • Phone: 402-466-6082
  • Fax: 402-466-5387
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number10290
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: