Healthcare Provider Details

I. General information

NPI: 1871734350
Provider Name (Legal Business Name): JAMIE RAE ZADINA PHARM.D., R.PH.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2009
Last Update Date: 03/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13660 CALIFORNIA ST
OMAHA NE
68154-5233
US

IV. Provider business mailing address

13660 CALIFORNIA ST
OMAHA NE
68154-5233
US

V. Phone/Fax

Practice location:
  • Phone: 402-965-8800
  • Fax: 866-632-7946
Mailing address:
  • Phone: 402-965-8800
  • Fax: 866-632-7946

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number11921
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number20015
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: