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Organization
GOOD LIFE HEALTH SERVICES INC
Active
Organization
GOOD LIFE HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE SVOBODA PHARM D, BCPS (OWNER/PHARMACIST)
(308) 728-3295
Entity
Organization
Contact information
Practice address
125 S 16TH ST STE A, ORD, NE 68862
(308) 728-3295
(308) 728-3296
Mailing address
127 S 16TH ST, ORD, NE 68862-1415
(308) 728-3295
(308) 728-3296
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
—
NULL
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
2334
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2055422
PK
—
Enumeration date
09/22/2006
Last updated
06/01/2018
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