# CAPWN REPRODUCTIVE HEALTH PROGRAM DELEGATED DISPENSING PERMIT

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- **Entity:** Organization
- **Status:** 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:** 1982488219
- **Legal business name:** COMMUNITY ACTION PARTNERSHIP OF WESTERN NEBRASKA
- **Authorized official:** DR. DANIEL JAMES BUNDRICK PHARMD (DELEGATING PHARMACIST)
- **Authorized official phone:** (308) 632-2770

## Contact information

- **Practice address:** 975 CRESCENT DR, GERING, NE 69341-1712
- **Practice address phone:** (308) 632-2770
- **Practice address fax:** (308) 633-2650
- **Mailing address:** 975 CRESCENT DR, GERING, NE 69341-1712
- **Mailing address phone:** (308) 632-2770
- **Mailing address fax:** (308) 633-2650

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP0904X | Federal Public Health Clinic/Center | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/18/2023
- **Last updated:** 08/18/2023