Organization
WILSON TOBIN INC
Active
Other names
Wilson Tobin Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD H BERLAGE PHARMACIST (OWNER PHARMACIST)
(308) 254-4553
Entity
Organization
Contact information
Practice address
1000 ILLINOIS ST, BOX 571, SIDNEY, NE 69162-1646
(308) 254-4553
(308) 254-4554
Mailing address
1000 ILLINOIS ST, BOX 571, SIDNEY, NE 69162-1646
(308) 254-4553
(308) 254-4554
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8014
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00025207500
—
NE
Enumeration date
10/10/2005
Last updated
12/04/2007
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