Organization
TML4LIFE INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
TOD LUNDBERG PHARM D (OWNER AND PHARMACIST)
(402) 223-2379
Entity
Organization
Contact information
Practice address
601 COURT ST, BEATRICE, NE 68310-3960
(402) 223-2379
(402) 223-2370
Mailing address
601 COURT ST, BEATRICE, NE 68310-3960
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2714
NE
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2801947
OTHER ID NUMBER
—
Enumeration date
08/31/2006
Last updated
04/25/2008
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