Individual
FLOYD G VANENGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RP
Contact information
Practice address
RR 1, ADAMS, NE 68301-9801
(402) 988-7145
Mailing address
RR 1, BOX 952, ADAMS, NE 68301-9801
(402) 988-7145
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1697
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08952
BC/BS
NE
05
—
47066741800
—
NE
Enumeration date
08/11/2006
Last updated
10/20/2008
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