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Nicole D . White, PharmD, CDCES, NBC-HWC, DipACLM

Associate Professor

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School of Pharmacy and Health Professions
Pharmacy
Pharmacy Faculty
Pharmacy Practice
Faculty - Pharmacy, OT, PT
HLSB - Hixson Lied Science Building - 147

Nicole D . White, PharmD, CDCES, NBC-HWC, DipACLM

Associate Professor

Teaching Interests

  • NBC-HWC

Research Focus

Lifestyle Medicine, Cardiology, Diabetes, Obesity, Chronic Disease Management, Social Determinants of Health

Department

Pharmacy Practice

Position

Associate Professor

Books

  • Patient Assessment in Pharmacy Practice.
    White, N. Female Patient. In: Jones RM (ed). Baltimore, MD: Lippincott Williams and Wilkins
    3rd edition, 2016, p. 427-443.​​​​​​ 2016
  • Patient Assessment in Pharmacy Practice
    White, N. Eyes and Ears. In: Jones RM (ed). Baltimore, MD: Lippincott Williams and Wilkins
    3rd edition, 2016, p. 140-164.​​​​​​​ 2016
  • American College of Clinical Pharmacy
    Burke RA, White ND. Biologic Disease-Modifying Antirheumatic Drugs. In: Murphy JE, Lee MW, eds. Pharmacotherapy Self-Assessment Program, 2014 Book 2. Chronic Illnesses. Lenexa, KS: American College of Clinical Pharmacy, 2014: 9-31., p. 9-31 2014
  • Nova Science
    Packard KA, Kalkowski JC, White ND, Ryan-Haddad AM, Black LL, Flecky KA, Furze JA, Rusch LM, Qi Y. A financial education program and health of single, low-income women and their children. In Caron RM, ed. Public Health: Improving health via inter-professional collaborations. New York: Nova Science. 2014. In press. 2014
  • Nova Science
    White ND, Packard KA, Kalkowski JC, Ryan-Haddad AM, Black LL, Flecky KA, Furze JA, Rusch LM, Qi Y. Education program for single women of low-income and their children. In Caron RM, ed. Public Health: Improving health via inter-professional collaborations. New York: Nova Science. 2014. In press. 2014

Articles

  • American Journal of Lifestyle Medicine
    White ND, Packard K, Kalkowski, et al. Improving Health through Action on Economic Stability: Results of the Finances First Randomized Controlled Trial of Financial Education and Coaching in Single Mothers of Low-Income 2022
  • American Journal of Lifestyle Medicine
    White ND, White ND. Mitigating medication-related fall risk through pharmacist-prescriber collaboration. American Journal of Lifestyle Medicine. 2021;15(6):602-604.
    15, p. 602-604 2021
  • America Journal of Lifestyle Medicine
    White ND, White ND. Academic training, knowledge and perceptions of physical activity in student pharmacists. American Journal of Lifestyle Medicine. 2021;15(3): 227-229.
    15, p. 227-229 2021
  • American Journal of Lifestyle Medicine
    White ND, White ND. Reducing primary care provider burnout with pharmacist-delivered comprehensive medication management. American Journal of Lifestyle Medicine. 2021;15(2):133-135
    15, p. 133-135 2021
  • American Journal of Lifestyle Medicine
    White ND, White ND, Packard K, Kalkowski J, Bradley T. Building hopefulness through financial education and coaching. American Journal of Lifestyle Medicine. 2021;15(1):19-22.
    15, p. 19-22 2021
  • American Journal of Lifestyle Medicine
    White ND, White ND. A guide to recommending fiber supplements for self-care. American Journal of Lifestyle Medicine. 2020;14(6):589-591.
    14, p. 589-591 2020
  • American Journal of Lifestyle Medicine
    White NE, White ND, Bautista V, Lenz T, Cosimano A. Using the SMART-EST goals in lifestyle medicine prescription. American Journal of Lifestyle Medicine. 2020;14(3):271-273.
    14, p. 271-273 2020
  • American Journal of Lifestyle Medicine
    White ND. Produce prescriptions, food pharmacies and the potential effect on food choice. American Journal of Lifestyle Medicine. 2020;14(3): https://doi.org/10.1177/1559827620915425 2020
  • American Journal of Lifestyle Medicine
    White ND, Knezevich E. Flash glucose monitoring technology impact on diabetes self-care behavior. American Journal of Lifestyle Medicine. 2020;14(2):130-132. 2020
  • American Journal of Lifestyle Medicine
    White ND, Packard K, Kalkowski, J. Financial education and coaching: a lifestyle medicine approach to addressing financial stress. American Journal of Lifestyle Medicine. 2019;13(6):540-543. 2019
  • Journal of Pharmacy Practice
    White, ND, Galt K, Ridgway JE, Skrabal MZ, Jones R, Wilman CC. Prevalence and Impact of Pharmacy Students as Patient Care Extenders in Medically Underserved Community Pharmacies. Journal of Pharmacy Practice 2019; Oct 15:897190019881063. Doi:10.1177/0897190019881063. 2019
  • International Public Health Journal
    Packard KA, Kalkowski JC, White ND, Ryan-Haddad AM, Black LL, Flecky KA, Furze JA, Rusch LM, Qi Y. Effect of a financial education program o the health of single, low-income women and their children. International Public Health Journal. 2014;49-62., p. 49-62 2019
  • American Journal of Lifestyle Medicine
    White ND. Messaging and multivitamin use: rethinking the “it can’t hurt” philosophy. American Journal of Lifestyle Medicine. 2019; 13(3):243-245. 2019
  • American Journal of Lifestyle Medicine.
    White ND. Approaches to reduce sports drink consumption among adolescents. American Journal of Lifestyle Medicine. 2019;13(2):145-147. 2019
  • American Journal of Lifestyle Medicine
    White ND. Increasing naloxone access and use to prevent opioid overdose death and disability. American Journal of Lifestyle Medicine. 2019;13(1): 33-35. 2019
  • American Health and Drug Benefits
    White ND, Lenz TL, Skrabal MZ, et al. Long-term outcomes of a cardiovascular and diabetes risk reduction program initiated by a self-insured employer. American Health and Drug Benefits 2018;11(4):177-183.
    11(4), p. 177-183 2018
  • Journal of Financial Counseling and Planning
    Two year durability of the effect of a financial educational program on the health of single, low-income women. Journal of Financial Counseling and Planning 2018;29(1):68-74.
    29(1), p. 68-74 2018
  • American Journal of Lifestyle Medicine
    White ND. Lifestyle medicine and health and wellness coaching in pharmacy practice. American College of Lifestyle Medicine. 2018;12(6):459-461.
    12(6), p. 459-461 2018
  • American Journal of Lifestyle Medicine
    Toombs AR, Jung JY, White ND. Benzodiazepine use and cognition in the elderly. America Journal of Lifestyle Medicine. 2018;12(4):295-297.
    12(4), p. 295-297 2018
  • American Journal of Lifestyle Medicine
    White ND. Hormonal contraception and breast cancer risk. American Journal of Lifestyle Medicine. 2018;12(3):224-226.
    12(3), p. 224-226 2018
  • American Journal of Lifestyle Medicine
    White ND, Kibalama W. Prevention of pediatric pharmaceutical poisonings. American Journal of Lifestyle Medicine. 2018;12(2):117-119.
    12(2), p. 117-119 2018
  • American Journal of Lifestyle Medicine
    Price S, Nhu Le Q, White ND. Lifestyle and pharmacotherapy for weight loss in preventing or delaying diabetes. American Journal of Lifestyle Medicine. 2018;12(1):34-37.
    `12(1), p. 34-37 2018
  • American Journal of Pharmacy Education
    Johnson KL, Alsharif NZ, Rovers J, Connor S, White ND, Hogue MD. Current practices for pharmacists and pharmacy students involvement in global/international short-term service trips. AJPE. 2017;81(2):23
    81(2) 2017
  • American College of Lifestyle Medicine
    White ND. Alcohol use in young adults with Type 1 Diabetes Mellitus. 2017;11(6):433-435. 2017
  • America Journal of Lifestyle Medicine
    Clark J, White ND. Immunotherapy for cat allergies: a potential strategy to scratch back. 2017;11(4):310-313. 2017
  • American Journal of Lifestyle Medicine
    White ND, Noeun J. Performance enhancing drug use in adolescence. 2017;11(2):122-124. 2017
  • American Journal of Lifestyle Medicine
    Prescott D, White ND. When is pharmacotherapy beneficial in patients with depressive disorders? 2017;11(3):220-222. 2017
  • American Journal of Lifestyle Medicine
    Ayoub J. White ND. GERD Management: The case for lifestyle in an era of PPIs. 2017;11(1):24-28. 2017
  • American Journal of Lifestyle Medicine.
    White ND. Gut mircrobiota and obesity: potential therapeutic targets and probiotic treatment. 2016; 10:104-106. 2016
  • American Journal of Lifestyle Medicine
    White ND. Pharmacy medication synchronization service works to improve medication adherence. 2016;10(6):385-387. 2016
  • American Journal of Lifestyle Medicine
    White ND. Influence of sleep on fertility in women. 2016;10(4):239-241. 2016
  • American Journal of Lifestyle Medicine
    Bucher A, White ND. Vitamin C in the prevention and treatment of the Common Cold. 2016;10(3):181-183. 2016
  • American Journal of Lifestyle Medicine
    Ivers T, White, ND. Potentially driver-impairing medications: risks and strategies for injury prevention. 2016;10(1):17-20. 2016
  • Progress in Cardiovascular Disease
    Teply RM, Packard KA, White ND, et al. Treatment of depression in patients with concomitant cardiovascular disease. pii: S0033-0620(15)30022-0. doi: 10.1016/j.pcad.2015.11.003 2015
  • American Journal of Lifestyle Medicine
    White ND, Opioid abuse and overdose: prevention strategies. 2015;9(6):412-415. 2015
  • American Journal of Lifestyle Medicine
    White ND. Mindfulness-based cognitive therapy for depression, current episodes and prevention of relapse. 2015;9(3):227-229. 2015
  • American Journal of Lifestyle Medicine
    White ND. Omega-3 fatty acids and cognitive decline. 2015;9(4):275-277. 2015
  • American Journal of Lifestyle Medicine
    White, ND. E-cigarettes for smoking cessation: helpful or harmful? 2015;9(2):109-111. 2015
  • American Journal of Lifestyle Medicine
    White, ND. Medication non-adherence in the Latino population, language barriers and considerations. 2014:9(1):43-45. 2014
  • American Journal of Lifestyle Medicine
    White, ND. Bisphosphonate drug holidays and fall prevention in the reduction of postmenopausal fractures. American Journal of Lifestyle Medicine. ;8(3):167-170. 2014
  • International Public Health Journal
    White ND, Packard K, Kalkowski J, Ryan-Haddad A, et al. A novel financial education program in single women of low-income and their children. International Public Health Journal. 2014. In press. 2014
  • American Journal of Lifestyle Medicine
    White, ND. Bisphosphonate drug holidays and fall prevention in the reduction of postmenopausal fractures. American Journal of Lifestyle Medicine. 2014. In press. 2014
  • American Journal of Lifestyle Medicine
    White ND. Lifestyle and complementary medicine for common gastrointestinal disorders in pregnancy. American Journal of Lifestyle Medicine. 2014;8(2):97-99.
    8(2), p. 97-99 2014
  • Psychology Research & Behavior Management
    White, Nicole D., Lenz, Thomas L., Smith, Katherine Tool guide for lifestyle behavior change in a cardiovascular risk reduction program
    6, p. 55-63 2013
  • Journal of Women's Health
    Kalkowski, Julie, Packard, Kathleen, White, Nicole, Ryan-Haddad, Ann, Furze, Jennifer, Rusch, Lorraine, Flecky, Kathleen, Black, Lisa, Cochran, Teresa, Stricklett, Kate M. Impact of a Financial Success Education Program on Quality of Life and Health in Single, Low-Income Mothers
    22, p. 32-33 2013
  • Journal of the American Pharmacists Association
    White, Nicole D., Lenz, Thomas L., Skrabal, Maryann Z., Faulkner, Michele A., Skradski, Jessica J., Southard, Leslie A., Popken, Derek E. Comparison of cardiovascular risk calculation tools in pharmacy practice
    53, p. 408-413 2013
  • Preventive Medicine
    Lenz TL, Gillespie ND, Skradski JJ, Viereck LK, Packard KA, Monahgan MS. Development of a composite lifestyle index (CLI) and its relationship to quality of life improvement- the CLI pilot study. Preventive Medicine. 2013; Article ID 481030, 7 pages. Doi:10.5402/2013/481030. Available at: http://www.hindawi.com/isrn/pm/2013/481030/ 2013
  • Internet Journal of Allied Health Sciences and Practice
    Lenz TL, Gillespie ND, Monaghan MS. Finding employees with undiagnosed diabetes. Internet Journal of Allied Health Sciences. 2013; 11(2). Available at: http://ijahsp.nova.edu/articles/Vol11Num2/Lenz.htm
    11(2) 2013
  • American Journal of Lifestyle Medicine
    White ND, Lenz TL. Drug-induced photosensitivity and the major culprits. American Journal of Lifestyle Medicine. 2013;7(3): 189-191.
    7(3), p. 181-191 2013
  • American Journal of Lifestyle Medicine
    Howard M, White ND. Potential benefits of cinnamon in type 2 diabetes. American Journal of Lifestyle Medicine. 2013;7(11):23-26.
    7(11), p. 23-26 2013
  • International Journal of Pharmacy and Integrated Life Sciences.
    Lenz, TL, Johnson, KL, White, ND, Coleman, AW Blood pressure outcomes from a pharmacist-run lifestyle medicine program in an employee health setting., p. 8-17 2012
  • Innovations in Pharmacy
    Pol A, Gillespie N, Knezevich E, Ryan-Haddad A. The effect of pharmacist intervention on diabetes screening promotion and education in a geriatric population. Innovations in Pharmacy 2012;3(4) 1-7. Available at: http://www.pharmacy.umn.edu/innovations/vol3no4/home.html
    3(4), p. 1-7 2012
  • Innovations in Pharmacy
    Lenz TL, Gillespie ND, Skrabal MZ, et al. Health-related quality of life impact in employees participating in a pharmacist-run risk reduction program. Innovations in Pharmacy. 2012;3(4)1-8. Available at: http://www.pharmacy.umn.edu/innovations/vol3no4/home.html
    3(4), p. 1-8 2012
  • Innovations in Pharmacy
    Lenz TL, Gillespie ND, Faulkner MA, et al. Lifestyle medicine related cardiovascular risk factor changes in employees participating in a pharmacist-run risk reduction program. Innovations in Pharmacy. 2012;3(4)1-8. Available at: http://www.pharmacy.umn.edu/innovations/vol3no4/home.html
    3(4), p. 1-8 2012
  • Innovations in Pharmacy
    McKenzie MC, Lenz TL, Gillespie ND, Skradski JJ. Medication adherence improvements in employees participating in a pharmacist-run risk reduction program. Innovations in Pharmacy. 2012;3(4)1-6. Available at: http://www.pharmacy.umn.edu/innovations/vol3no4/home.html
    394), p. 1-6 2012
  • Journal of Interprofessional Care
    Lenz TL, Gillespie ND, Skrabal MZ, et al. Using employee experts to offer an interprofessional diabetes risk reduction program to fellow employees. Journal of Interprofessional Care. 2012; Article ID 721816, 3 pages. Doi:10.3109/13561820.2012.721816. Available at: http://informahealthcare.com/eprint/kqN3VEDAVDJN3pzdMtDy/full 2012
  • Innovations in Pharmacy
    Gillespie ND, Lenz TL. Development and implementation of a novel lifestyle medicine advanced pharmacy practice experience. Innovations in Pharmacy. 2012; 3(1): 1-5. Available at: http://www.pharmacy.umn.edu/innovations/vol3no1/home.html
    3(1), p. 1-5 2012
  • American Journal of Lifestyle Medicine
    Gillespie ND, Lenz TL. Resveratrol: benefits on aging and heart disease. American Journal of Lifestyle Medicine. 2012; 6(5):390-392.
    6(5), p. 390-392 2012
  • US Pharmacist
    Gillespie ND, DeSimone E. Prevention of heart disease in women: what not to use. US Pharmacist. 2011;36(9):44-48.
    36(9), p. 44-48 2011
  • Sports medicine
    Lenz TL, Gillespie N. Transdermal patch drug delivery interactions with exercise. Sports Medicine. 2011;41(3):177-183.
    41(3), p. 177-183 2011
  • Advances in Preventative Medicine
    Gillespie ND, Lenz TL. Implementation of a tool to modify behavior in a chronic disease management program. Advances in Preventive Medicine. 2011; Article ID 215842, 5 pages. Doi:10.4061/2011/215842. Available at: http://www.sage-hindawi.com/journals/apm/2011/215842/ 2011
  • American Journal of Lifestyle Medicine
    Gillespie ND, Lenz TL. Reducing inflammation: statins or lifestyle? American Journal of Lifestyle Medicine. 2011;6(1):18-20.
    6(1), p. 18-20 2011

Presentations

  • White ND, Packard K, Kalkowski J. Improving health through action on economic stability: Results from a randomized-controlled trial of financial education and coaching in low-income single-mothers. Invited presentation at the American College of Public Healths Annual Meeting. Denver, CO. October 24-27, 2021. 2021
  • Skrabal M, Foral P, Jones R, Fuji K, Coover K, Ryan-Haddad A, White N. Preceptor perceptions of a novel IPPE to increase student preparedness before APPEs. American Association of Colleges of Pharmacy Annual Meeting. Virtual. July 19-22, 2021. 2021
  • Skrabal M, Foral P, Jones R, Fuji K, Coover K, Ryan-Haddad A, White N. Evaluation of a novel IPPE to increase student confidence before APPEs. Poster, American Association of Colleges of Pharmacy Annual Meeting. Virtual. July 19-22, 2021. 2021
  • Srivastava S, White ND, Philip A. There are no contraindications to lifestyle medicine: Lets learn, practice and educate. Invited presentation at the American Association of Colleges of Pharmacy Annual Meeting. Virtual. July 19-22, 2021. 2021
  • Foral PA, Jones RM, Fuji KT, Skrabal M, Coover KL, Ryan-Haddad AM, White ND. Evaluation of an Introductory Pharmacy Practice Experience to Reinforce Student Learning and Increase Student Confidence Immediately Prior to Advanced Pharmacy Practice Experiences Amid a COVID-19 Pandemic. Poster, American College of Clinical Pharmacy, Dallas, Texas (Virtual), October 28, 2020. 2020
  • White ND, Packard K, Kalkowski J. Reducing stress through financial education and coaching in single mothers of low-income. Poster, American College of Lifestyle Medicine. Orlando, FL. October 2019 2019
  • White ND, Galt K, Skrabal M, et al. Prevelance and impact of pharmacy students as patient care extenders in medically underserved community pharmacies. Poster, AACP, NACDS Foundation Research Row. Chicago, Illinois. July 2019 2019
  • White ND, Galt K, Skrabal M, et al. Evaluation of pharmacy students as patient care extenders in medically underserved community pharmacies. Poster, APhA. Nashville, Tennessee. 2018
  • Pick A, Hamilton WR, White ND, Wize AR. Facilitation of Distance-pathway therapeutic case studies using technology. Poster, AACP. Nashville Tennessee. 2017
  • White ND, Roche VF, Tolman JA, Wilson A, Coover KL, Chauhan HV. Development and assessment of self-awareness through a professional formation retreat. Poster, AACP. Nashville, Tennessee. 2017
  • White, ND. Non-insulin therapies for Type 1 diabetes. Invited to present to patients with type 1 diabetes and their care givers at the Take Control of Your Diabetes Conference, a National Conference hosted by Taking Control of Your Diabetes. Century Link Center, Omaha, NE. 2015
  • White ND, Skrabal M, Knezevich E. Pharmacist and Patient-Centered Care Diabetes Certificate Course Continuing Education Class. Taught to Creighton University Pharmacy Alumni during Creighton Alumni Weekend. 2015
  • White N, Lenz TL, Atwell A. The effect of a pharmacist-run chronic disease management program on self-reported employee sick and hospital days. Poster, AACP. National Harbor Maryland 2015
  • Packard K, Jones R, Coover K, Ryan-Haddad A, Pick A, White N, Risoldi Z, Freidman S, Burke R, Qi Y. Evaluation of introductory pharmacy practice experience service-learning reflections: effect of providing instructor feedback. Poster, AACP. National Harbor, Maryland. 2015
  • Packard KA, Ryan-Haddad A, White N, Kalkowski J, Furze J, Flecky K, Rusch L, Black L. A novel financial education program in single women of low-income and their children. Poster, All Together Better Health VII International Conference. Pittsburgh, Pennsylvania, June 8, 2014. 2014
  • Lenz TL, White ND. Be your own first patient. Invited to present to physicians and staff at the Creating a Culture of Wellness in the Workplace conference hosted by the Nebraska Department of Health and Human Services. Lied Lodge, Nebraska City, NE. May 2013. 2013
  • Kalkowski J, Packard K, Gillespie N, et al. Impact of Financial Success Education Program on Quality of Life and Health in Single, Low-Income Mothers. Womens Health 2013: The 21st Annual Congress. Washington, DC, March 2013. 2013
  • White ND, Nelson C. Medication adherence. Television interview by morning show co-hosts regarding medication adherence and the Script Your Future campaign. Omaha Morning Blend. KMTV. Omaha, NE. February 2013. 2013
  • White ND, Pagenkemper J, Konigsberg S, et al. Ask the experts. Sat on an expert panel and responded to public questions regarding diabetes treatment and prevention. South Omaha YMCA. Omaha, Nebraska. December 2012. 2012
  • Gillespie ND, Lenz TL, Monaghan MS. Identifying employees with undiagnosed diabetes for participation in a pharmacist-run worksite wellness program. Poster presentation at the ACCP Annual Meeting, Hollywood, FL, October 2012. 2012
  • Faulkner M, Gillespie ND, Lenz TL, Skrabal M. Effect of a Pharmacist-Run Worksite Diabetes Management Program on Employee Productivity: A Pilot Study. Poster presentation at the ASHP Summer Meeting, Baltimore, MD, June 2012. 2012
  • Gillespie N, Packard K, Kalkowski J, et al. Promoting health and strengthening communities through financial education. Poster presentation at the All Things Ignation Symposium, Creighton University, Omaha, NE, February 2012. 2012
  • Gillespie ND, Packard K, Kalkowski J, et al. Cardiovascular risk factors of women and children in an urban financial education program. Poster presentation at the ACPM Preventive Medicine meeting, Orlando, FL, February 2012. 2012
  • Faulkner M, Lenz TL, Skrabal M, Gillespie ND. Creation of a pharmacist-driven risk reduction program for University employees with diabetes. Poster Presentation at the ASHP Midyear Meeting, New Orleans LA, December 2011. 2011
  • Gillespie, ND, Nelson, K. The ABCs of managing your health. Invited to present at the Eastern Nebraska Office on Aging Luncheon at Saint Pauls Church. Omaha, Nebraska. November 2011. 2011
  • Gillespie, ND. Implementation of a tool to modify behavior in a chronic disease management program. Presentation at Midwest Pharmacy Residency Conference. Omaha, Nebraska. May 2011. 2011

Foundation/Association

  • 4. White ND, Lenz TL, Atwell A, Qi Y. Effects of a pharmacist-run worksite chronic disease management program on self-reported employee sick and hospital days. National Association of Chain Drug Stores Faculty Scholars Grant. National Association of Chain Drug Stores Foundation. August 1, 2014-July 15, 2015. Approved and Funded, $2,500. Principal Investigator, 10% effort.

  • Lenz T, Heinemann L, Black L, White ND, Costanzo C, Allensworth C. Creighton University Interprofessional Health and Wellness. Association for Prevention Teaching and Research – Centers for Disease Control and Prevention Sub-Award. August 1, 2015 – December 31, 2015.Approved and funded, $3,000.00. Co-Investigator, 1% effort.

  • White ND, Galt K. Pharmacy student contributions to direct patient care of patients in medically underserved areas in Nebraska. National Association of Chain Drug Stores Advanced Faculty Scholars Grant. National Association of Chain Drug Stores Foundation. May 2016-July 2019. Approved and funded, $10,000. Principal Investigator, 5% effort.

Other

  • 5. Packard, K, Kalkowski J, Ryan-Haddad A, Furze J, Rusch L, Flecky K, Gillespie N, Cochran T, Black L. Health effects of financial education in low income single mother households. Creighton University President’s Faculty Research Fund- Interdisciplinary Team Grant. Creighton University. Approved and funded, $10,000. Co-Investigator, 5% effort.

Awards

  • Advanced Faculty Scholar
    National Association for Chain Drug Stores
  • NACDS Faculty Scholar
    NACDS
  • Rho Chi Academic Honor Society
    Rho Chi
  • Distinguished Young Pharmacist Award
    Nebraska Pharmacists’ Association
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