# LOUDERBACK DRUG OF MADISON, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LOUDERBACK DRUG OF MADISON, INC.
- **Other names:** LOUDERBACK DRUG
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518599257
- **Legal business name:** LOUDERBACK DRUG OF MADISON, INC.
- **Authorized official:** BRETT JOSEPH LOUDERBACK PHARM D (PRESIDENT)
- **Authorized official phone:** (402) 454-2525

## Contact information

- **Practice address:** 201 S MAIN ST, MADISON, NE 68748-6485
- **Practice address phone:** (402) 454-2525
- **Practice address fax:** (402) 454-2945
- **Mailing address:** PO BOX 389, MADISON, NE 68748-0389
- **Mailing address phone:** (402) 454-2525
- **Mailing address fax:** (402) 454-2945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/11/2020
- **Last updated:** 02/11/2020