Organization
TALAWEI ENTERPRISES INC
Active
Other names
Medicap Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCISCO TALAVERA (OWNER)
(402) 393-7755
Entity
Organization
Contact information
Practice address
2814 S 108TH ST, OMAHA, NE 68144-4804
(402) 393-7755
Mailing address
2814 S 108TH ST, OMAHA, NE 68144-4804
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
263
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025424300
—
NE
01
—
2801214
NCPDP #
NE
Enumeration date
08/16/2006
Last updated
03/07/2023
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