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Organization

SPAMM LLC

Active
Other names
Medicine Man Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
JED LEWIS (VICE PRESIDENT - SECRETARY)
(402) 652-3217
Entity
Organization

Contact information

Practice address
122 W 16TH ST, SCHUYLER, NE 68661-1668
(402) 352-3020
Mailing address
PO BOX 437, NORTH BEND, NE 68649-0437
(402) 652-3217
(402) 652-8219

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3336L0003X
Long Term Care Pharmacy
3336M0002X
Mail Order Pharmacy
3336S0011X
Specialty Pharmacy

Other

Enumeration date
02/08/2019
Last updated
06/08/2021
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