Provider Demographics
NPI:1255503660
Name:ZARUBA, STACY RENEE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:STACY
Middle Name:RENEE
Last Name:ZARUBA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2115 14TH ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:AUBURN
Mailing Address - State:NE
Mailing Address - Zip Code:68305-1760
Mailing Address - Country:US
Mailing Address - Phone:402-274-5225
Mailing Address - Fax:402-274-5229
Practice Address - Street 1:2115 14TH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:AUBURN
Practice Address - State:NE
Practice Address - Zip Code:68305-1760
Practice Address - Country:US
Practice Address - Phone:402-274-5225
Practice Address - Fax:402-274-5229
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2788183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist