Healthcare Provider Details

I. General information

NPI: 1356773428
Provider Name (Legal Business Name): SARA RACHEL LABELLA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2013
Last Update Date: 08/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7100 W CENTER RD
OMAHA NE
68106-2700
US

IV. Provider business mailing address

7100 W CENTER RD
OMAHA NE
68106-2700
US

V. Phone/Fax

Practice location:
  • Phone: 402-506-9000
  • Fax:
Mailing address:
  • Phone: 402-506-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH.03233101-2
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: