Organization
CANCER SPECIALTY PHARMACY LLC
Active
Other names
Cancer Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARLA R DUREE PHARM D (PHARMACY MANAGER)
(402) 334-6100
Entity
Organization
Contact information
Practice address
17545 GOLD PLZ, OMAHA, NE 68130-5602
(402) 334-6100
(402) 334-6118
Mailing address
17545 GOLD PLAZA, OMAHA, NE 68130
(402) 334-6100
(402) 334-6118
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
679
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2164614
PK
—
Enumeration date
10/20/2016
Last updated
05/02/2017
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