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NPI Code Detail

MEDICARE: MRS. CHRISTINA ROBIN DECKER RP

MEDICARE: MRS. CHRISTINA ROBIN DECKER RP
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
1183500000XPharmacist11256NE

General Provider Information

NPI Number : 1992794036
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINA ROBIN DECKER RP
Provider Business Mailing Address
First Line : 7130 HARVEST HILLS DR
Second Line :
City : LAVISTA
State : NE
Zip : 68128-3138
Country : US
Telephone Number : 402-614-3398
Fax Number :
Provider Business Practice Location Address
First Line : 11134 Q ST
Second Line :
City : OMAHA
State : NE
Zip : 68137-3609
Country : US
Telephone Number : 402-592-5244
Fax Number : 402-592-2501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2005
Last Update Date : 07/08/2007

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Directions to “ MRS. CHRISTINA ROBIN DECKER RP” Practice Location

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