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Organization
CHEYENNE COUNTY HSPTL ASSOCIATION INC
Active
Organization
CHEYENNE COUNTY HSPTL ASSOCIATION INC
Active
Other names
MEMORIAL HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE JOHNSON PHARM D (CEO)
(308) 254-5070
Entity
Organization
Contact information
Practice address
645 OSAGE ST, SIDNEY, NE 69162-1707
(308) 254-8094
(308) 254-8091
Mailing address
645 OSAGE ST, SIDNEY, NE 69162-1707
(308) 254-8094
(308) 254-8091
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
2511
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025091000
—
NE
01
—
2054717
PK
—
Enumeration date
08/14/2006
Last updated
09/22/2016
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