Organization
SPAMM LLC
Active
Other names
Medicine Man Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEDADIAH LEWIS PHARMD (VICE PRESIDENT)
(402) 496-9757
Entity
Organization
Contact information
Practice address
122 W 16TH ST, SCHUYLER, NE 68661-1668
(402) 352-3020
(402) 352-5820
Mailing address
122 W 16TH ST, SCHUYLER, NE 68661-1668
(402) 352-3020
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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