Organization
FALLS CITY MEDS INC
Active
Other names
Falls City Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SRINIVASA RAJU VEGESANA (PRESIDENT)
(407) 687-3393
Entity
Organization
Contact information
Practice address
120 E 18TH ST, FALLS CITY, NE 68355-2116
(402) 245-2029
(402) 245-2521
Mailing address
120 E 18TH ST, FALLS CITY, NE 68355-2116
(402) 245-2029
(402) 245-2521
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2939
NE
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100262262-00
—
NE
05
—
200257510A
—
KS
01
—
2136754
PK
—
Enumeration date
07/28/2005
Last updated
12/06/2013
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