Organization
TGSC VENTURES, LLC
Active
Organization
TGSC VENTURES, LLC
Active
Other names
Frontier Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER GAVIN STURGEON (PIC)
(308) 529-1224
Entity
Organization
Contact information
Practice address
540 S 8TH AVE, BROKEN BOW, NE 68822-2456
(308) 872-5231
(308) 872-2377
Mailing address
540 S 8TH AVE, BROKEN BOW, NE 68822-2456
(308) 872-5231
(308) 872-2377
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026649601
—
NE
Enumeration date
01/08/2020
Last updated
06/15/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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