Organization
TOWN AND COUNTRY PHARMACY INC
Active
Organization
TOWN AND COUNTRY PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J NUNNS (PRESIDENT)
(402) 759-4433
Entity
Organization
Contact information
Practice address
1014 G ST, GENEVA, NE 68361-2007
(402) 759-4433
(402) 759-4417
Mailing address
1014 G ST, GENEVA, NE 68361-2007
(402) 759-4433
(402) 759-4417
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1574
NE
332BN1400X
Nursing Facility Supplies (DME)
1574
NE
333600000X
Pharmacy
1574
NE
3336C0003X
Community/Retail Pharmacy
Primary
1574
NE
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09020
BCBS PAR
NE
05
—
4706198800
—
NE
Enumeration date
07/13/2006
Last updated
01/10/2019
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