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Organization
COMMUNITY PHARMACY SERVICES LLC
Active
Organization
COMMUNITY PHARMACY SERVICES LLC
Active
Other names
Consonus Pharmacy Gretna
Organization subpart
No
Provider details
NPI number
Authorized official
TAMI LAFLEN (VP OF FINANCE)
(971) 206-5172
Entity
Organization
Contact information
Practice address
21689 NORTHSTAR DR, GRETNA, NE 68028-4941
(402) 289-0431
(402) 289-0436
Mailing address
PO BOX 524, GRETNA, NE 68028-0524
(402) 289-0431
(402) 289-0436
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
294
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025934600
—
NE
05
—
103459
—
IA
01
—
3208
PHARMACY LICENSE
NE
Enumeration date
05/07/2007
Last updated
05/31/2023
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