Organization
PANHANDLE COOPERATIVE ASSOCIATION
Active
Other names
PANHANDLE COOP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE WILLIAM TERRELL RPH (PHARMACY M ANAGER)
(308) 632-3900
Entity
Organization
Contact information
Practice address
401 S BELTLINE HWY W, SCOTTSBLUFF, NE 69361-1314
(308) 632-3900
(308) 632-5856
Mailing address
PO BOX 2188, SCOTTSBLUFF, NE 69363-2188
(308) 632-3900
(308) 632-5856
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9184
NE
Other
Enumeration date
11/24/2006
Last updated
08/22/2020
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