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Organization
NEBRASKA LONG TERM CARE, LLC
Active
Organization
NEBRASKA LONG TERM CARE, LLC
Active
Parent organization
DEINES PHARMACY, LLC
Other names
Nebraska Long Term Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEINES PHARMACY, LLC
Authorized official
DR. MITCHELL EUGENE DEINES PHARMD, RPH (PRESIDENT)
(402) 223-4779
Entity
Organization
Contact information
Practice address
910 COURT ST STE D, BEATRICE, NE 68310-4085
(402) 223-4779
(402) 223-0153
Mailing address
910 COURT ST STE D, BEATRICE, NE 68310-4085
(402) 223-4779
(402) 223-0153
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
10088
NE
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025162800
—
NE
01
—
2816885
NCPDP
—
Enumeration date
08/10/2006
Last updated
06/03/2021
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