Organization
COMMUNITY PHARMACY SERVICES LLC
Active
Other names
Consonus Pharmacy Gretna
Organization subpart
No
Provider details
NPI number
Authorized official
TAMI LAFLEN (VP OF FINANCE)
(971) 206-5172
Entity
Organization
Contact information
Practice address
21689 NORTHSTAR DR, GRETNA, NE 68028-4941
(402) 289-0431
(402) 289-0436
Mailing address
PO BOX 524, GRETNA, NE 68028-0524
(402) 289-0431
(402) 289-0436
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
294
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025934600
—
NE
05
—
103459
—
IA
01
—
3208
PHARMACY LICENSE
NE
Enumeration date
05/07/2007
Last updated
05/31/2023
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