Organization
GI VILLAGE PHARMACY
Active
Other names
GI Village Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW SCHLACHTER (OWNER)
(402) 463-2441
Entity
Organization
Contact information
Practice address
4075 TIMBERLINE ST, GRAND ISLAND, NE 68803-6553
(308) 385-3535
Mailing address
300 S 1ST AVE, HASTINGS, NE 68901-6464
(402) 463-2441
(402) 463-2441
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
612
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2152765
PK
—
Enumeration date
07/02/2015
Last updated
07/02/2015
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