Organization
GREEN RIVER ASSOCIATES INC
Active
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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