# CROSIER PARK PHARMACY LLC

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

## Provider details

- **NPI number:** 1811623655
- **Authorized official:** SCOTT A KIRKEGAARD PHARM.D. (OWNER/PIC)
- **Authorized official phone:** (402) 462-4600

## Contact information

- **Practice address:** 405 E 14TH ST, HASTINGS, NE 68901-3204
- **Practice address phone:** (402) 462-4600
- **Practice address fax:** (402) 462-4605
- **Mailing address:** 405 E 14TH ST, HASTINGS, NE 68901-3204
- **Mailing address phone:** (402) 462-4600
- **Mailing address fax:** (402) 462-4605

## Taxonomy

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

## Other

- **Enumeration date:** 07/25/2022
- **Last updated:** 07/25/2022