NPI 1003416272

Jacqueline J Small, PHARMD

Practitioner Pharmacist Papillion, NE

Practice location

Address: 11650 S 73rd St, Papillion, NE 68046-1500
Phone: (402) 597-5056
Mailing address: 4805 Fountain Cir, Papillion, NE 68133-4726

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 11887 (NE)

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Registry record

NPI: 1003416272
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Oct 2020
Record last updated: 28 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.