Organization
TOOLEY DRUG COMPANY
Active
Other names
TOOLEY CLINIC PHARMACY VITAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD TOOLEY (MANAGER)
(402) 562-8627
Entity
Organization
Contact information
Practice address
4306 38TH ST, COLUMBUS, NE 68601-1668
(402) 562-8627
(402) 562-8637
Mailing address
PO BOX 5047, MERIDIAN, MS 39302-5047
(800) 447-4095
(601) 482-7490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2550
NE
332BC3200X
Customized Equipment (DME)
2550
NE
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
2550
NE
332BX2000X
Oxygen Equipment & Supplies (DME)
2550
NE
333600000X
Pharmacy
2550
NE
3336C0003X
Community/Retail Pharmacy
2550
NE
3336H0001X
Home Infusion Therapy Pharmacy
2550
NE
3336L0003X
Long Term Care Pharmacy
2550
NE
3336M0002X
Mail Order Pharmacy
2550
NE
3336S0011X
Specialty Pharmacy
2550
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08997
BCBS NPAR
NE
01
—
NA1418
LOCAL MEDICARE PART B
NE
01
—
P00771846
MEDICARE RR
—
Enumeration date
08/30/2006
Last updated
06/06/2012
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