Individual provider · Type 1 NPI

John Timothy Bourke Jr., RP

Pharmacist · Omaha, NE

NPI number 1194830653 Active

Practice location

2915 Grant St
Omaha, NE 68111-3863

Call (402) 451-3553 Map

Fax (402) 453-2061

Mailing address

PO Box 111609, 2915 Grant Street
Omaha, NE 68111-5609

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X4787 (NE)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1194830653

John Timothy Bourke Jr., RP's National Provider Identifier is 1194830653, issued on Aug 21, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Omaha, NE. The record was last updated on Jul 8, 2007.