# CREIGHTON UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Creighton University MedIcal Center Clinic Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477547347
- **Authorized official:** DANIEL BURKEY PHARM D (VP FOR ADMIN AND FINANCE)
- **Authorized official phone:** (402) 280-2131

## Contact information

- **Practice address:** 2412 CUMING ST STE 201, CUMC CLINIC PHARMACY, OMAHA, NE 68131-1602
- **Practice address phone:** (402) 449-4560
- **Practice address fax:** (402) 449-4531
- **Mailing address:** 2412 CUMING ST STE 201, OMAHA, NE 68131-1602
- **Mailing address phone:** (402) 449-4560
- **Mailing address fax:** (402) 449-4531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | 3115 | NE | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 09/07/2005
- **Last updated:** 04/25/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0543116 | — | IA |
| 01 | — | 2053351 | PK | — |