Organization
PROFESSIONAL COMPOUNDING CENTER OF SOUTHEAST NEBRASKA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL E DEINES RP (PRESIDENT)
(402) 223-4774
Entity
Organization
Contact information
Practice address
910 E COURT ST, STE B, BEATRICE, NE 68310-4085
(402) 223-4774
(402) 223-5610
Mailing address
910 E COURT ST, STE B, BEATRICE, NE 68310-4085
(402) 223-4774
(402) 223-5610
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2345
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36931
BLUE CROSS
—
05
—
47074248301
—
NE
Enumeration date
08/09/2005
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us