# ROCK COUNTY CLINIC PHARMACY

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

## Provider details

- **NPI number:** 1720084668
- **Authorized official:** JEANIE MARIE SHANKLAND (CLINIC MANAGER)
- **Authorized official phone:** (402) 684-2906

## Contact information

- **Practice address:** 102 E SOUTH ST, BASSETT, NE 68714-5508
- **Practice address phone:** (402) 684-2906
- **Practice address fax:** (402) 684-3822
- **Mailing address:** HC 75 BOX 400, BASSETT, NE 68714-9761
- **Mailing address phone:** (402) 684-2906
- **Mailing address fax:** (402) 684-3822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 1002386 | NE | Yes |

## Other

- **Enumeration date:** 06/24/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100251015-00 | — | NE |
| 01 | — | 2816683 | NABP | NE |