| Provider / Organization | NPI | Date Certified |
|---|---|---|
| STEPHANIE BUSSE | 1730788100 | 2020-10-18 |
Stephanie Busse is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1730788100. Registration indicates Stephanie Busse is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Stephanie Busse |
| Practice Office Address | 11651 S 154TH ST OMAHA, NE US |
| Practice Office Telephone | 1111111111 |
| Mailing Address | 11651 S 154TH ST OMAHA, NE 681383607 US |
| Business Telephone | 4028912732 |
| Code | Practice | License No State |
|---|---|---|
| 183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 12102
NE |