Provider Demographics
NPI:1073600870
Name:RIHANEK, LARRY E
Entity Type:Individual
Prefix:MR
First Name:LARRY
Middle Name:E
Last Name:RIHANEK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 MAPLE STREET
Mailing Address - Street 2:PO BOX H
Mailing Address - City:PENDER
Mailing Address - State:NE
Mailing Address - Zip Code:68047
Mailing Address - Country:US
Mailing Address - Phone:402-385-3415
Mailing Address - Fax:402-385-0155
Practice Address - Street 1:100 VALLEY VIEW DRIVE
Practice Address - Street 2:
Practice Address - City:PENDER
Practice Address - State:NE
Practice Address - Zip Code:68047
Practice Address - Country:US
Practice Address - Phone:402-385-3350
Practice Address - Fax:402-385-0155
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE8043183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist