Ricky Lee Bender

NPI #1053458497 in Omaha, Nebraska

Provider Information

NPI Number: 1053458497
Entity Type: Individual
Name: Ricky Lee Bender
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Feb 1, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 109 S 68TH AVE
City: Omaha
State: Nebraska
ZIP Code: 68132-3309
Phone: (402) 933-5424

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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