Organization
GI VILLAGE PHARMACY
Active
Parent organization
VILLAGE PHARMACY INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
VILLAGE PHARMACY INC.
Authorized official
DR. MATTHEW JOSEPH SCHLACHTER PHARM.D. (OWNER)
(402) 463-2441
Entity
Organization
Contact information
Practice address
300 S 1ST AVE, HASTINGS, NE 68901-6464
(402) 463-2441
Mailing address
4075 TIMBERLINE ST, GRAND ISLAND, NE 68803-6553
(308) 385-3535
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
612
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
612
STATE BOARD OF PHARMACY
NE
Enumeration date
07/07/2015
Last updated
07/07/2015
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