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NPI Code Detail

MEDICARE: SAMANTHA R CALKINS PHARMD

MEDICARE: SAMANTHA R CALKINS PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist16104NE

General Provider Information

NPI Number : 1134605322
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA R CALKINS PHARMD
Provider Business Mailing Address
First Line : 17118 TAYLOR ST
Second Line :
City : OMAHA
State : NE
Zip : 68116-3075
Country : US
Telephone Number : 402-841-3229
Fax Number :
Provider Business Practice Location Address
First Line : 8525 S 71ST PLZ
Second Line :
City : PAPILLION
State : NE
Zip : 68133-2100
Country : US
Telephone Number : 402-597-8982
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2018
Last Update Date : 07/11/2018

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Directions to “ SAMANTHA R CALKINS PHARMD” Practice Location

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