Provider Demographics
NPI:1508262460
Name:VOGEL, KAREN (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:VOGEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:CHOU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:201 S 185TH CT
Mailing Address - Street 2:APARTMENT 202
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-5631
Mailing Address - Country:US
Mailing Address - Phone:808-375-8327
Mailing Address - Fax:
Practice Address - Street 1:502 S 11TH ST
Practice Address - Street 2:
Practice Address - City:NEBRASKA CITY
Practice Address - State:NE
Practice Address - Zip Code:68410-2728
Practice Address - Country:US
Practice Address - Phone:402-873-1012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-05
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE14301183500000X
IA22097183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist