Jerry L Lagerstrom
NPI #1902946239 in Plattsmouth, Nebraska
Provider Information
- NPI Number
- 1902946239
- Entity Type
- Organization
- Organization Name
- Jerry L Lagerstrom
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Feb 7, 2007
- Last Updated
- Jun 13, 2008
Practice Location
- Address
- 517 MAIN ST
- City
- Plattsmouth
- State
- Nebraska
- ZIP Code
- 68048-1963
- Phone
- (402) 296-4455
Authorized Official
- Name
- MR. JERRY LAGERSTROM, RPH
- Title
- OWNER
- Phone
- (402) 296-4455
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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