# THAYER COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THAYER COUNTY MEMORIAL HOSPITAL
- **Other names:** TCHS Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1992787949
- **Legal business name:** THAYER COUNTY MEMORIAL HOSPITAL
- **Authorized official:** SCOTT T COOK (INTERIM CEO)
- **Authorized official phone:** (402) 768-6041

## Contact information

- **Practice address:** 120 PARK AVE, HEBRON, NE 68370-2019
- **Practice address phone:** (402) 768-4611
- **Practice address fax:** (402) 768-4693
- **Mailing address:** 120 PARK AVE, HEBRON, NE 68370-2019
- **Mailing address phone:** (402) 768-4611
- **Mailing address fax:** (402) 768-4693

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 2492 | NE | — |
| 3336C0003X | Community/Retail Pharmacy | 2492 | NE | — |
| 3336L0003X | Long Term Care Pharmacy | 2492 | NE | Yes |

## Other

- **Enumeration date:** 11/16/2005
- **Last updated:** 07/14/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2492 | STATE LICENSE | NE |
| 01 | — | 2816366 | NCPDP | NE |