Organization
SILVER STREET COMPOUNDING PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACI LEE HUBERT PHARM.D. (OWNER)
(402) 944-9843
Entity
Organization
Contact information
Practice address
1415 SILVER ST, ASHLAND, NE 68003-1845
(402) 944-9843
(402) 944-9413
Mailing address
1415 SILVER ST, ASHLAND, NE 68003-1845
(402) 944-9843
(402) 944-9413
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
2506
NE
Other
Enumeration date
01/12/2009
Last updated
01/12/2009
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