Most Relevant Information
Provider Data
| NPI Number: | 1003257072 |
| Provider Name: | ALYSSA MARIE TELLO PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 14253 |
Most Important Dates
| Enumeration Date: | 07/08/2013 |
| Last Updated: | 07/08/2013 |
Provider Practice Location
4920 S 30TH ST
SUITE 103
OMAHA
NE
681071590
Practice Location Phone/Fax
| Phone: | 4025025832 |
| Fax: | 4025025841 |
Provider Mailing Location
4920 S 30TH ST
SUITE 103
OMAHA
NE
681071590
Provider Mailing Phone/Fax
| Phone: | 4025025832 |
| Fax: | 4025025841 |