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Organization
SPRINGFIELDDRUG
Active
Organization
SPRINGFIELDDRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH RONALD HENTZEN RP (OWNER)
(402) 253-2000
Entity
Organization
Contact information
Practice address
205 MAIN ST, SPRINGFIELD, NE 68059-3230
(402) 253-2000
(402) 253-2001
Mailing address
PO BOX 130, SPRINGFIELD, NE 68059-3230
(402) 253-2000
(402) 253-2001
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
8552
NE
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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