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Organization
CREIGHTON UNIVERSITY
Active
Organization
CREIGHTON UNIVERSITY
Active
Other names
Creighton University MedIcal Center Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BURKEY PHARM D (VP FOR ADMIN AND FINANCE)
(402) 280-2131
Entity
Organization
Contact information
Practice address
2412 CUMING ST STE 201, CUMC CLINIC PHARMACY, OMAHA, NE 68131-1602
(402) 449-4560
(402) 449-4531
Mailing address
2412 CUMING ST STE 201, OMAHA, NE 68131-1602
(402) 449-4560
(402) 449-4531
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0002X
Clinic Pharmacy
Primary
3115
NE
3336C0003X
Community/Retail Pharmacy
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0543116
—
IA
01
—
2053351
PK
—
Enumeration date
09/07/2005
Last updated
04/25/2017
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