Organization
BRYAN EMPLOYEE SPECIALTY PHARMACY
Active
Other names
Bryan Employee Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC N MOOSS (PRESIDENT/CEO)
(402) 481-1111
Entity
Organization
Contact information
Practice address
1600 S 48TH ST, LINCOLN, NE 68506-1283
(402) 481-8380
(402) 481-8349
Mailing address
1600 S 48TH ST, LINCOLN, NE 68506-1283
(402) 481-8380
(402) 481-8349
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
625
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155552
PK
—
Enumeration date
12/01/2015
Last updated
04/17/2024
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