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Organization

SAUNDERS MEDICAL CENTER

Active
Parent organization
SAUNDERS MEDICAL CENTER
Other names
Saunders Medical Center LTC Pharmacy
Organization subpart
Yes

Provider details

NPI number
Legal business name
SAUNDERS MEDICAL CENTER
Authorized official
JULIE REZAC (INTERIM CHIEF EXECUTIVE OFFICER)
(402) 443-4191
Entity
Organization

Contact information

Practice address
1760 COUNTY ROAD J, WAHOO, NE 68066-4152
(402) 443-4191
(402) 443-1433
Mailing address
1760 COUNTY ROAD J, WAHOO, NE 68066-4152
(402) 443-4191
(402) 443-1433

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
3336L0003X
Long Term Care Pharmacy
Primary
3065
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2154052
PK
Enumeration date
09/15/2015
Last updated
02/04/2020
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