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Organization

CHERRY COUNTY DRUG

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LARRY LEE MILLER RP (OWNER)
(402) 376-1961
Entity
Organization

Contact information

Practice address
316 N MAIN, VALENTINE, NE 69201
(402) 376-1961
(402) 376-1961
Mailing address
316 N MAIN, VALENTINE, NE 69201
(402) 376-1961
(402) 376-1961

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
1901
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2804690
NABP
Enumeration date
12/29/2006
Last updated
06/20/2008
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