Organization
GOTHENBURG DISCOUNT PHARMACY INC.
Active
Other names
Gothenburg Discount Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM LEE (PRESIDENT/ CEO)
(308) 537-7155
Entity
Organization
Contact information
Practice address
902 AVENUE D STE 102, GOTHENBURG, NE 69138-1955
(308) 537-7155
(308) 537-7366
Mailing address
PO BOX 159, GOTHENBURG, NE 69138-0159
(308) 537-7155
(308) 537-7366
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
3060
NE
3336C0003X
Community/Retail Pharmacy
Primary
3060
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2809688
NCPDP
—
05
—
47059868200
—
NE
Enumeration date
08/10/2006
Last updated
01/12/2026
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