Organization
D AND L PHARMACY INC.
Active
Other names
LA VISTA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL LINDSAY CORDWIN R.P. (PRESIDENT)
(402) 592-2500
Entity
Organization
Contact information
Practice address
7101 S 84TH ST, LA VISTA, NE 68128-2100
(402) 592-2500
(402) 592-2096
Mailing address
7101 S 84TH ST, LA VISTA, NE 68128-2100
(402) 592-2500
(402) 592-2096
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2228
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2804727
NCPDP
—
Enumeration date
12/28/2006
Last updated
08/22/2020
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