Organization
LOUDERBACK DRUG OF MADISON, INC.
Active
Organization
LOUDERBACK DRUG OF MADISON, INC.
Active
Other names
CREUTZ DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT LOUDERBACK PHARM D (PRESIDENT)
(402) 960-1940
Entity
Organization
Contact information
Practice address
517 E BROADWAY ST, WAUSA, NE 68786-1559
(402) 586-2552
(402) 586-2341
Mailing address
PO BOX 160, WAUSA, NE 68786-0160
(402) 586-2552
(402) 586-2341
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2838
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2801389
NABP
NE
Enumeration date
03/15/2012
Last updated
02/11/2020
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