Organization
FATHER FLANAGANS BOYS HOME
Active
Other names
BOYS TOWN EMPLOYEE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SONGSTER PHRMD (DIR OF PHCY)
(402) 498-6355
Entity
Organization
Contact information
Practice address
14080 HOSPITAL RD, BOYS TOWN, NE 68010
(402) 778-6063
(402) 778-6062
Mailing address
14080 BOYS TOWN HOSPITAL RD, BOYS TOWN, NE 68010-7513
(402) 778-6063
(402) 778-6062
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
Primary
2795
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2055968
PK
—
Enumeration date
01/22/2008
Last updated
06/16/2016
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