Provider Demographics
NPI:1831612472
Name:PITTMAN, GLEONE CLAIRE (PHARMD)
Entity type:Individual
Prefix:
First Name:GLEONE
Middle Name:CLAIRE
Last Name:PITTMAN
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 1:985610 NEBRASKA MEDICAL CTR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-5610
Mailing Address - Country:US
Mailing Address - Phone:402-552-7999
Mailing Address - Fax:402-552-7792
Practice Address - Street 1:985610 NEBRASKA MEDICAL CTR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-5610
Practice Address - Country:US
Practice Address - Phone:402-552-7999
Practice Address - Fax:402-552-7792
Is Sole Proprietor?:No
Enumeration Date:2017-07-25
Last Update Date:2017-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11629183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist