Organization
PROFESSIONAL VETERINARY PRODUCTS LTD
Active
Other names
PVPL Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER O'GRADY (PIC, PHARMACY MANAGER)
(402) 829-5239
Entity
Organization
Contact information
Practice address
10077 S 134TH ST, OMAHA, NE 68138-3710
(402) 829-5239
(402) 829-5343
Mailing address
10077 S 134TH ST, OMAHA, NE 68138-3710
(402) 829-5239
(402) 829-5343
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
2841
NE
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2817849
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/31/2009
Last updated
05/28/2010
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