Organization
FALLS CITY MEDS INC
Active
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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