# ARRX INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LAKE CREST PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144459058
- **Authorized official:** ANITA RUSE RP (PRESIDENT/OWNER)
- **Authorized official phone:** (402) 988-7145

## Contact information

- **Practice address:** 620 MAIN ST, STE B, ADAMS, NE 68301-8277
- **Practice address phone:** (402) 988-7145
- **Practice address fax:** (402) 988-2096
- **Mailing address:** PO BOX 972, ADAMS, NE 68301-0972
- **Mailing address phone:** (402) 988-7145
- **Mailing address fax:** (402) 988-2096

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 2885 | NE | Yes |

## Other

- **Enumeration date:** 07/13/2009
- **Last updated:** 04/24/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025580600 | — | NE |
| 01 | — | 2054536 | PK | — |