Organization
TILDEN PHARMACY
Active
Other names
Hofmann Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANELLE CHARF (OWENR/PHARMACIST)
(402) 887-5426
Entity
Organization
Contact information
Practice address
103 E 2ND ST, TILDEN, NE 68781-4793
(402) 368-5385
(402) 368-5386
Mailing address
103 E 2ND ST, POB 190, TILDEN, NE 68781-4793
(402) 368-5385
(402) 368-5386
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
717
NE
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177575
PK
—
Enumeration date
05/18/2018
Last updated
05/18/2018
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