Provider Demographics
NPI:1497381123
Name:EFFKEN, DAVID JOHN (RPH)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:JOHN
Last Name:EFFKEN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5566 S 56TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-1834
Mailing Address - Country:US
Mailing Address - Phone:402-423-3839
Mailing Address - Fax:402-423-3048
Practice Address - Street 1:5566 S 56TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-1834
Practice Address - Country:US
Practice Address - Phone:402-423-3839
Practice Address - Fax:402-423-3048
Is Sole Proprietor?:No
Enumeration Date:2020-03-13
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE93731835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist