Organization
MCKINNEYS FOOD CENTER LIMITED LIABILITY COMPANY
Active
Other names
MCKINNEYS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT A MCKINNEY (OWNER)
(402) 332-5167
Entity
Organization
Contact information
Practice address
215 ENTERPRISE DR, GRETNA, NE 68028-7883
(402) 332-5167
(402) 332-5184
Mailing address
215 ENTERPRISE DR, GRETNA, NE 68028-7883
(402) 332-5167
(402) 332-5184
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2298
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2814932
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
47054216600
—
NE
Enumeration date
11/07/2006
Last updated
05/28/2013
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