Organization
KEYSTONE RX CORPORATION INC
Active
Other names
Dave's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RANDOLPH (PHARMACIST)
(308) 760-1966
Entity
Organization
Contact information
Practice address
223 BOX BUTTE AVE, ALLIANCE, NE 69301-3741
(308) 762-4811
(308) 487-3409
Mailing address
PO BOX 95, HEMINGFORD, NE 69348-0095
(308) 762-4811
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
718
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100264060-00
—
NE
01
—
2177805
PK
—
Enumeration date
05/24/2018
Last updated
09/16/2025
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