Individual
DR. KELLY JO VANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D., RPH
Contact information
Practice address
6905 S 36TH ST, OMAHA, NE 68147-1231
(402) 734-7592
Mailing address
6905 S 36TH ST, OMAHA, NE 68147-1231
(402) 734-7592
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
12334
NE
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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