NPI 1154009728

Kent Allen Herzog, RP

Practitioner Pharmacist Beatrice, NE

Practice location

Address: 3620 N 6th St, Beatrice, NE 68310-1141
Phone: (402) 228-4594

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 10809 (NE)

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Registry record

NPI: 1154009728
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jul 2023
Record last updated: 5 Jul 2023

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.