Provider Demographics
NPI:1396154878
Name:URBAN, LINDA MARIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:MARIE
Last Name:URBAN
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 1:5555 N 90TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68134-1836
Mailing Address - Country:US
Mailing Address - Phone:402-573-0947
Mailing Address - Fax:402-573-0785
Practice Address - Street 1:5555 N 90TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68134-1836
Practice Address - Country:US
Practice Address - Phone:402-573-0947
Practice Address - Fax:402-573-0785
Is Sole Proprietor?:No
Enumeration Date:2014-08-08
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE10124183500000X
KS1-15695183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist