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Individual

DR. BENJAMIN RYAN VAVRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD, RPH

Contact information

Practice address
4310 AMES AVE, OMAHA, NE 68111-2149
(307) 640-1048
Mailing address
4310 AMES AVE, OMAHA, NE 68111-2149
(307) 640-1048

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
15014
NE
183500000X
Pharmacist
3175
WY
183500000X
Pharmacist
Primary
68880
CA

Other

Enumeration date
09/01/2010
Last updated
01/10/2017
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