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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