Organization
ROCK COUNTY CLINIC PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANIE MARIE SHANKLAND (CLINIC MANAGER)
(402) 684-2906
Entity
Organization
Contact information
Practice address
102 E SOUTH ST, BASSETT, NE 68714-5508
(402) 684-2906
(402) 684-3822
Mailing address
HC 75 BOX 400, BASSETT, NE 68714-9761
(402) 684-2906
(402) 684-3822
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
1002386
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100251015-00
—
NE
01
—
2816683
NABP
NE
Enumeration date
06/24/2005
Last updated
08/22/2020
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