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Organization
LOUISVILLE DRUG INC
Active
Organization
LOUISVILLE DRUG INC
Active
Other names
Blakes Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KITRAN R GEISE RPH (OWNER/PIC)
(402) 234-3025
Entity
Organization
Contact information
Practice address
213 MAIN ST, LOUISVILLE, NE 68037-6032
(402) 234-3025
(402) 234-3026
Mailing address
PO BOX 339, LOUISVILLE, NE 68037-0339
(402) 234-3025
(402) 234-3026
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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