Provider Demographics
NPI:1477943066
Name:HARNACK, BRITTNEY
Entity Type:Individual
Prefix:MRS
First Name:BRITTNEY
Middle Name:
Last Name:HARNACK
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:BRITTNEY
Other - Middle Name:
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17810 W CENTER RD
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68130-2308
Mailing Address - Country:US
Mailing Address - Phone:402-697-4876
Mailing Address - Fax:402-972-4488
Practice Address - Street 1:17810 W CENTER RD
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68130-2308
Practice Address - Country:US
Practice Address - Phone:402-697-4876
Practice Address - Fax:402-972-4488
Is Sole Proprietor?:No
Enumeration Date:2015-02-03
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3512183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician