Provider Demographics
NPI:1245893692
Name:KUGLER, ALEX LABASAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ALEX
Middle Name:LABASAN
Last Name:KUGLER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1219 MARBEE DR APT 5
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-1545
Mailing Address - Country:US
Mailing Address - Phone:719-432-8785
Mailing Address - Fax:
Practice Address - Street 1:5038 CENTER ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68106-3111
Practice Address - Country:US
Practice Address - Phone:402-551-6205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-20
Last Update Date:2019-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE15042183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist