# EXTENDCARE THE PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RelyCare LTC Lincoln
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538348842
- **Authorized official:** STEVAN OSENBAUGH (PRESIDENT)
- **Authorized official phone:** (402) 466-7283

## Contact information

- **Practice address:** 1219 N COTNER BLVD, LINCOLN, NE 68505-1837
- **Practice address phone:** (402) 466-6083
- **Practice address fax:** (402) 466-6086
- **Mailing address:** 1219 N COTNER BLVD, LINCOLN, NE 68505-1837
- **Mailing address phone:** (402) 466-6083
- **Mailing address fax:** (402) 466-6086

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 2978 | NE | Yes |

## Other

- **Enumeration date:** 11/02/2007
- **Last updated:** 10/19/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2055930 | PK | — |