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Organization

ALEGENT CREIGHTON HEALTH

Active
Other names
CHI Health Pharmacy - Bergan Mercy
Organization subpart
No

Provider details

NPI number
Authorized official
MIKE TIESI (SENIOR DIRECTOR)
(402) 343-4546
Entity
Organization

Contact information

Practice address
7710 MERCY RD, STE 110, OMAHA, NE 68124-2372
(402) 398-6781
(402) 398-6036
Mailing address
7710 MERCY RD, STE 110, OMAHA, NE 68124-2372
(402) 398-6781
(402) 398-6036

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1472
NE
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
4703
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0220637
IA
05
10026519113
NE
01
2053673
PK
Enumeration date
10/05/2006
Last updated
09/19/2025
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