Organization
TGSC VENTURES, LLC
Active
Other names
Frontier Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER STURGEON RPH (CO-OWNER, PIC, AO)
(308) 529-1224
Entity
Organization
Contact information
Practice address
312 W 8TH ST, COZAD, NE 69130-1772
(308) 784-3500
(308) 784-3502
Mailing address
312 W 8TH ST, COZAD, NE 69130-1772
(308) 784-3500
(308) 784-3502
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3117
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026649600
—
NE
01
—
2155122
PK
—
Enumeration date
11/02/2015
Last updated
08/05/2024
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