# SAUNDERS MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SAUNDERS MEDICAL CENTER
- **Other names:** Saunders Medical Center LTC Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1326416850
- **Legal business name:** SAUNDERS MEDICAL CENTER
- **Authorized official:** JULIE REZAC (INTERIM CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (402) 443-4191

## Contact information

- **Practice address:** 1760 COUNTY ROAD J, WAHOO, NE 68066-4152
- **Practice address phone:** (402) 443-4191
- **Practice address fax:** (402) 443-1433
- **Mailing address:** 1760 COUNTY ROAD J, WAHOO, NE 68066-4152
- **Mailing address phone:** (402) 443-4191
- **Mailing address fax:** (402) 443-1433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 3065 | NE | Yes |

## Other

- **Enumeration date:** 09/15/2015
- **Last updated:** 02/04/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2154052 | PK | — |