Organization
REDLERS PROF PHCY INC
Active
Other names
REDLERS LTC
Organization subpart
No
Provider details
NPI number
Authorized official
TROY REDLER PHARMD (VP)
(402) 494-5542
Entity
Organization
Contact information
Practice address
1010 W 29TH ST, STE 214, SOUTH SIOUX CITY, NE 68776
(402) 494-5542
(402) 494-2207
Mailing address
1010 W 29TH ST, STE 214, SOUTH SIOUX CITY, NE 68776
(402) 494-7943
(402) 494-9780
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
—
—
3336L0003X
Long Term Care Pharmacy
Primary
260
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2817267
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/05/2006
Last updated
07/26/2007
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