Organization
ANNIE JEFFREY MEMORIAL COUNTY HEALTH
Active
Other names
ANNIE JEFFREY MEM CNTY HSP PHY
Organization subpart
No
Provider details
NPI number
Authorized official
REGINALD HAIN R P (CONSULTANT PHARMACIST)
(308) 940-2592
Entity
Organization
Contact information
Practice address
531 BEEBE ST, OSCEOLA, NE 68651-5537
(402) 747-2031
(402) 747-1405
Mailing address
531 BEEBE ST, OSCEOLA, NE 68651-5537
(402) 747-2031
(402) 747-1405
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
640001
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2811354
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/30/2007
Last updated
05/21/2010
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