Organization
DEINES PHARMACY, LLC
Active
Organization
DEINES PHARMACY, LLC
Active
Other names
Deines Pharmacy, Deines Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN DANIEL (EVP MEDICAL OPERATIONS)
(402) 301-1307
Entity
Organization
Contact information
Practice address
910 COURT ST STE C, BEATRICE, NE 68310-4085
(402) 223-4779
(402) 223-5610
Mailing address
4924 CENTER ST, OMAHA, NE 68106-3219
(402) 315-1945
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026077200
—
NE
01
—
2813928
NCPDP
—
Enumeration date
07/28/2005
Last updated
12/07/2023
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