Provider Demographics
NPI:1407864820
Name:CIESLIK, MARSHA KAY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARSHA
Middle Name:KAY
Last Name:CIESLIK
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 1:1560 COUNTY ROAD 29
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:NE
Mailing Address - Zip Code:68070-4033
Mailing Address - Country:US
Mailing Address - Phone:402-663-4950
Mailing Address - Fax:402-367-4158
Practice Address - Street 1:422 N 5TH ST
Practice Address - Street 2:
Practice Address - City:DAVID CITY
Practice Address - State:NE
Practice Address - Zip Code:68632-1627
Practice Address - Country:US
Practice Address - Phone:402-367-3068
Practice Address - Fax:402-367-4158
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE10263183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist