Organization
DTAG PHARMACIES INC
Active
Other names
ABC Drug
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BRANDT PHRMD (OWNER/PRES/PIC)
(308) 237-2178
Entity
Organization
Contact information
Practice address
2123 CENTRAL AVE, KEARNEY, NE 68847-5303
(308) 237-2178
(308) 237-0287
Mailing address
PO BOX 1599, KEARNEY, NE 68848-1599
(308) 237-2178
(308) 237-0287
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2886
NE
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025670000
—
NE
01
—
2052788
PK
—
Enumeration date
02/07/2007
Last updated
06/20/2016
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