# SPAMM LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medicine Man Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235005380
- **Authorized official:** JEDADIAH LEWIS PHARMD (VICE PRESIDENT)
- **Authorized official phone:** (402) 496-9757

## Contact information

- **Practice address:** 122 W 16TH ST, SCHUYLER, NE 68661-1668
- **Practice address phone:** (402) 352-3020
- **Practice address fax:** (402) 352-5820
- **Mailing address:** 122 W 16TH ST, SCHUYLER, NE 68661-1668
- **Mailing address phone:** (402) 352-3020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 10/15/2025
- **Last updated:** 10/15/2025
