Organization
ROCKBROOK HEALTH MART PHARMACY
Active
Other names
Rockbrook Health Mart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN NELSON (OWNER)
(402) 651-3713
Entity
Organization
Contact information
Practice address
10913 PRAIRIE BROOK RD, OMAHA, NE 68144-4828
(402) 932-6077
Mailing address
21762 POPPLETON AVE, ELKHORN, NE 68022-2223
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2827
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2817685
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/20/2008
Last updated
08/20/2009
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