Organization
THIELE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES LIERK (PRESIDENT)
13087624033
Entity
Organization
Contact information
Practice address
304 BOX BUTTE AVE, ALLIANCE, NE 69301-3342
(130) 876-2403
(130) 876-2896
Mailing address
304 BOX BUTTE AVE, ALLIANCE, NE 69301-3342
(130) 876-2403
(130) 876-2896
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1702
NE
Other
Enumeration date
12/11/2006
Last updated
08/22/2020
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