Organization
NEBRASKA LTC PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON HAMMERSCHMIDT (OWNER)
(402) 328-0231
Entity
Organization
Contact information
Practice address
284 N 115TH ST, OMAHA, NE 68154-2521
(402) 328-0231
(402) 328-0234
Mailing address
284 N 115TH ST, OMAHA, NE 68154-2521
(402) 328-0231
(402) 328-0234
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026035300
—
NE
Enumeration date
08/21/2019
Last updated
08/21/2019
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