Organization
GREEN RIVER ASSOCIATES INC
Active
Other names
CHIEF DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
COLBY HAYNES (VICE PRESIDENT)
(402) 335-3375
Entity
Organization
Contact information
Practice address
123 SOUTH 3RD ST, TECUMSEH, NE 68450
(402) 335-3375
(402) 335-3376
Mailing address
123 N 3RD ST, TECUMSEH, NE 68450-2491
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2133
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2804400
OTHER ID NUMBER
—
Enumeration date
11/27/2006
Last updated
10/22/2019
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