Provider Demographics
NPI:1275753048
Name:SCHWEITZER MASEK, CARISA JO (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CARISA
Middle Name:JO
Last Name:SCHWEITZER MASEK
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:PO BOX 142
Mailing Address - Street 2:109 5TH AVE
Mailing Address - City:CERESCO
Mailing Address - State:NE
Mailing Address - Zip Code:68017-0142
Mailing Address - Country:US
Mailing Address - Phone:402-665-2420
Mailing Address - Fax:
Practice Address - Street 1:PHARMACEUT AND NUTRITION CARE
Practice Address - Street 2:981090 NEBRASKA MEDICAL CENTER
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-1090
Practice Address - Country:US
Practice Address - Phone:402-559-3683
Practice Address - Fax:402-559-4941
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE12029183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist