Organization
FRIENDLY NEIGHBOR HEALTHCARE, LLC
Active
Other names
ELGIN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KURT J CARRAHER (OWNER/MANAGER)
(402) 843-5555
Entity
Organization
Contact information
Practice address
112 S 2ND ST, ELGIN, NE 68636-4409
(402) 843-5555
(402) 843-5551
Mailing address
PO BOX 429, ELGIN, NE 68636-0429
(402) 843-5555
(402) 843-5551
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2751
NE
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025557800
—
NE
05
—
10026660802
—
NE
01
—
2814261
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/05/2006
Last updated
07/27/2017
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