Organization
B&R STORES, INC.
Active
Other names
Super Saver Pharmacy #27
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY SCHMID (DIRECTOR OF PHARMACY)
(402) 464-6297
Entity
Organization
Contact information
Practice address
840 FALLBROOK BLVD, LINCOLN, NE 68521-6648
(402) 464-6297
Mailing address
840 FALLBROOK BLVD, LINCOLN, NE 68521-6648
(402) 464-6297
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
515
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2818447
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/18/2013
Last updated
01/18/2013
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