Individual
MR. MARCUS VICTOR THOENDEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RP
Contact information
Practice address
11134 Q ST, OMAHA, NE 68137-3609
(402) 592-5244
(402) 592-2501
Mailing address
9710 MELISSA ST, LAVISTA, NE 68128-4230
(402) 614-9565
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11879
NE
Other
Enumeration date
10/20/2005
Last updated
07/08/2007
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