Organization
B&R STORES INC
Active
Organization
B&R STORES INC
Active
Other names
Super Saver Pharmacy #11
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY SCHMID RPH (PHARMACY DIRECTOR/AO/PIC)
(402) 464-6297
Entity
Organization
Contact information
Practice address
5460 S 56TH ST, LINCOLN, NE 68516-1879
(402) 423-0870
(402) 423-0873
Mailing address
4554 W ST, LINCOLN, NE 68503-2831
(402) 464-6297
(402) 434-5732
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
709
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2172487
PK
—
Enumeration date
10/18/2017
Last updated
01/31/2018
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