# NEBRASKA DEPARTMENT OF CORRECTIONS PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NEBRASKA DEPARTMENT OF CORRECTIONS PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487772562
- **Authorized official:** DR. ADAM MICHAEL CRABBE PHARMD (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (402) 471-7805

## Contact information

- **Practice address:** 2620 W VAN DORN ST, LINCOLN, NE 68522-9288
- **Practice address phone:** (402) 471-7805
- **Practice address fax:** (402) 471-7807
- **Mailing address:** 2620 W VAN DORN ST, LINCOLN, NE 68522-9288
- **Mailing address phone:** (402) 471-7805
- **Mailing address fax:** (402) 471-7807

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | 2572 | NE | Yes |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 05/23/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2054738 | PK | — |