Organization
NEBRASKA LTC PHARMACY
Active
Other names
Nebraska LTC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON HAMMERSCHMIDT (PHARMACIST IN CHARGE)
(402) 326-2788
Entity
Organization
Contact information
Practice address
4300 S 48TH ST STE 5, LINCOLN, NE 68516-1279
(402) 328-0231
Mailing address
4300 S 48TH ST STE 5, LINCOLN, NE 68516-1279
(402) 328-0231
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
2989
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2130647
PK
—
Enumeration date
06/03/2011
Last updated
07/10/2014
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