MEDICARE: DR. THOMAS H KLINGEMANN PHARM D.

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	11325	NE

General Provider Information

NPI Number	:	1528054574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS H KLINGEMANN PHARM D.

Provider Business Mailing Address
First Line	:	4706 WALNUT ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68106-2532
Country	:	US
Telephone Number	:	402-553-1742
Fax Number	:

Provider Business Practice Location Address
First Line	:	989200 THE NEBRASKA MEDICAL CENTER
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68198-0001
Country	:	US
Telephone Number	:	402-559-5216
Fax Number	:	402-559-8762

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

Provider Enumeration Date	:	09/26/2005
Last Update Date	:	07/08/2007

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