Organization
B & R STORES INC
Active
Other names
Super Saver Pharmacy #28
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY SCHMID RPH (PHARMACY DIRECTOR,PIC,AO)
(402) 464-6297
Entity
Organization
Contact information
Practice address
710 WEST STATE ST, GRAND ISLAND, NE 68801
(308) 398-0940
(308) 398-0941
Mailing address
4554 W ST, LINCOLN, NE 68503-2831
(402) 464-6297
(402) 434-5732
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
668
NE
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159911
PK
—
Enumeration date
05/04/2016
Last updated
06/16/2016
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