Individual
BONNIE C. VANDENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.P.
Contact information
Practice address
7328 MAPLE ST, OMAHA, NE 68134-6829
(402) 391-2659
Mailing address
7328 MAPLE ST, OMAHA, NE 68134-6829
(402) 391-2659
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
043041
MO
183500000X
Pharmacist
1-11548
KS
183500000X
Pharmacist
Primary
11712
NE
Other
Enumeration date
04/04/2007
Last updated
12/27/2007
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