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Organization

GOOD LIFE LONG TERM CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGIE SVOBADA PHARM D, BCPS (OWNER/PHARMACIST)
(308) 728-3295
Entity
Organization

Contact information

Practice address
127 S 16TH ST, ORD, NE 68862
(308) 728-3295
(308) 728-3296
Mailing address
127 S 16TH ST, ORD, NE 68862

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
2334
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2815148
OTHER ID NUMBER-COMMERCIAL NUMBER
Enumeration date
09/05/2006
Last updated
08/22/2020
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