MEDICARE: MRS. MEGAN ELIZABETH OBER RPH

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
1	183500000X	Pharmacist	10290	NE

General Provider Information

NPI Number	:	1881780401
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MEGAN ELIZABETH OBER RPH

Provider Business Mailing Address
First Line	:	6531 S. 34TH
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68516
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1221 N. COTNER, SUITE 1
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68505
Country	:	US
Telephone Number	:	402-466-6082
Fax Number	:	402-466-5387

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	07/08/2007

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