# GUARDIAN PHARMACY OF OMAHA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Guardian Pharmacy of Omaha, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710754635
- **Authorized official:** CODY LOBEDA (PRESIDENT/OWNER)
- **Authorized official phone:** (402) 694-9114

## Contact information

- **Practice address:** 11171 MILL VALLEY RD, OMAHA, NE 68154-3933
- **Practice address phone:** (402) 694-9114
- **Mailing address:** 11171 MILL VALLEY RD, OMAHA, NE 68154-3933
- **Mailing address phone:** (402) 694-9114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/11/2023
- **Last updated:** 12/11/2023