MEDICARE: MS. ANITA ANN STRANGLEN RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	11205	NE

General Provider Information

NPI Number	:	1922394774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANITA ANN STRANGLEN RPH

Provider Business Mailing Address
First Line	:	2112 SAVANNAH DR
Second Line	:
City	:	PAPILLION
State	:	NE
Zip	:	68133-3327
Country	:	US
Telephone Number	:	402-292-3628
Fax Number	:	402-291-6779

Provider Business Practice Location Address
First Line	:	2112 SAVANNAH DR
Second Line	:
City	:	PAPILLION
State	:	NE
Zip	:	68133-3327
Country	:	US
Telephone Number	:	402-292-3628
Fax Number	:	402-291-6779

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2011
Last Update Date	:	06/21/2011

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