Individual
KYLE LANCE JANZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
13660 CALIFORNIA ST, OMAHA, NE 68154-5233
(800) 546-5677
Mailing address
13660 CALIFORNIA ST, OMAHA, NE 68154-5233
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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