# NATIONAL LTC PHARMACY SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FSQ PHARMACY HOLDINGS, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760408637
- **Legal business name:** FSQ PHARMACY HOLDINGS, LLC
- **Authorized official:** MR. STEVEN DEAN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (402) 331-2661

## Contact information

- **Practice address:** 6891 A ST STE 105, LINCOLN, NE 68510-4184
- **Practice address phone:** (402) 489-8676
- **Practice address fax:** (402) 489-0258
- **Mailing address:** 6891 A ST STE 105, LINCOLN, NE 68510-4184
- **Mailing address phone:** (402) 489-8676
- **Mailing address fax:** (402) 489-0258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 150 | NE | Yes |

## Other

- **Enumeration date:** 07/14/2006
- **Last updated:** 08/29/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 150 | PHARMACY LICENSE | NE |