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Organization
CAPWN REPRODUCTIVE HEALTH PROGRAM DELEGATED DISPENSING PERMIT
Active
Organization
CAPWN REPRODUCTIVE HEALTH PROGRAM DELEGATED DISPENSING PERMIT
Active
Parent organization
COMMUNITY ACTION PARTNERSHIP OF WESTERN NEBRASKA
Other names
CAPWN-Health Center-Reproductive Health Program Delegated Dispensing P
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY ACTION PARTNERSHIP OF WESTERN NEBRASKA
Authorized official
DR. DANIEL JAMES BUNDRICK PHARMD (DELEGATING PHARMACIST)
(308) 632-2770
Entity
Organization
Contact information
Practice address
975 CRESCENT DR, GERING, NE 69341-1712
(308) 632-2770
(308) 633-2650
Mailing address
975 CRESCENT DR, GERING, NE 69341-1712
(308) 632-2770
(308) 633-2650
Taxonomy
Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
—
NULL
3336C0002X
Clinic Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32
DELEGATED DISPENSING PERMIT NUMBER
NE
Enumeration date
08/18/2023
Last updated
08/18/2023
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