Individual
MR. VANCE N WAGNER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
14301 FIRST NATIONAL BANK PKWY, SUITE 200, OMAHA, NE 68154-7201
(800) 633-7928
(800) 801-2395
Mailing address
2802 WHISPERING OAKS LN, FORT CALHOUN, NE 68023-5252
(402) 657-0917
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10400
NE
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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