Organization
PRECISION COMPOUNDING PHARMACY INC
Active
Other names
Precision Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY JOHNSON (OWNER)
(402) 932-6373
Entity
Organization
Contact information
Practice address
15722 W CENTER RD, OMAHA, NE 68130-1859
(402) 932-6373
(402) 932-6068
Mailing address
15722 W CENTER RD, OMAHA, NE 68130-1859
(402) 932-6373
(402) 932-6068
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
2872
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2818182
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/30/2010
Last updated
02/04/2013
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