Organization
GRETNA DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITCHEL SCOTT WENDLANDT PHARM D. (OWNER PHARMACIST)
(402) 332-5990
Entity
Organization
Contact information
Practice address
820 VILLAGE SQ, GRETNA, NE 68028-7914
(402) 332-5990
(402) 332-0266
Mailing address
820 VILLAGE SQ, GRETNA, NE 68028-7914
(402) 332-5990
(402) 332-0266
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2604
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025112900
—
NE
01
—
2816710
NABP #
NE
Enumeration date
10/24/2006
Last updated
01/29/2009
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