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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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