Provider Demographics
NPI:1902341001
Name:RUBEK, JULIANA (PHARMD)
Entity Type:Individual
Prefix:
First Name:JULIANA
Middle Name:
Last Name:RUBEK
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 1:12025 W CENTER RD
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-3953
Mailing Address - Country:US
Mailing Address - Phone:402-333-6500
Mailing Address - Fax:402-333-6612
Practice Address - Street 1:12025 W CENTER RD
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-3953
Practice Address - Country:US
Practice Address - Phone:402-333-6500
Practice Address - Fax:402-333-6612
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-27
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11869183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist