# ALLIANCE COMMUNITY PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710747332
- **Authorized official:** DR. TIMOTHY RAY KOTSCHWAR PHARMD (OWNER)
- **Authorized official phone:** (308) 629-1045

## Contact information

- **Practice address:** 2409 BOX BUTTE AVE, ALLIANCE, NE 69301-4449
- **Practice address phone:** (308) 629-1045
- **Practice address fax:** (308) 629-1048
- **Mailing address:** 2409 BOX BUTTE AVE, ALLIANCE, NE 69301-4449
- **Mailing address phone:** (308) 629-1045
- **Mailing address fax:** (308) 629-1048

## Taxonomy

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

## Other

- **Enumeration date:** 03/20/2024
- **Last updated:** 03/20/2024