# COMMUNITY PHARMACY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Consonus Pharmacy Gretna
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063624328
- **Authorized official:** TAMI LAFLEN (VP OF FINANCE)
- **Authorized official phone:** (971) 206-5172

## Contact information

- **Practice address:** 21689 NORTHSTAR DR, GRETNA, NE 68028-4941
- **Practice address phone:** (402) 289-0431
- **Practice address fax:** (402) 289-0436
- **Mailing address:** PO BOX 524, GRETNA, NE 68028-0524
- **Mailing address phone:** (402) 289-0431
- **Mailing address fax:** (402) 289-0436

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 294 | NE | Yes |

## Other

- **Enumeration date:** 05/07/2007
- **Last updated:** 05/31/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025934600 | — | NE |
| 05 | — | 103459 | — | IA |
| 01 | — | 3208 | PHARMACY LICENSE | NE |
