Organization
VALENTINE CLINIC PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD L TERRY R.P. (PRESIDENT)
(402) 376-3531
Entity
Organization
Contact information
Practice address
272 N MAIN ST, VALENTINE, NE 69201-1818
(402) 376-3531
(402) 376-3560
Mailing address
PO BOX 176, VALENTINE, NE 69201-0176
(402) 376-3531
(402) 376-3560
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2254
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8531160
—
SD
Enumeration date
01/04/2007
Last updated
08/22/2020
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