Provider Demographics
NPI:1790462083
Name:CARAWAY, MARGARITA VANESSA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARGARITA
Middle Name:VANESSA
Last Name:CARAWAY
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 1:5062 S 155TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-5040
Mailing Address - Country:US
Mailing Address - Phone:402-861-6966
Mailing Address - Fax:402-861-6938
Practice Address - Street 1:5062 S 155TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-5040
Practice Address - Country:US
Practice Address - Phone:402-861-6966
Practice Address - Fax:402-861-6938
Is Sole Proprietor?:No
Enumeration Date:2023-06-29
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE17244183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist