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Organization

NATIONAL LTC PHARMACY SERVICES, INC.

Active
Parent organization
FSQ PHARMACY HOLDINGS, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
FSQ PHARMACY HOLDINGS, LLC
Authorized official
MR. STEVEN DEAN (EXECUTIVE DIRECTOR)
(402) 331-2661
Entity
Organization

Contact information

Practice address
6891 A ST STE 105, LINCOLN, NE 68510-4184
(402) 489-8676
(402) 489-0258
Mailing address
6891 A ST STE 105, LINCOLN, NE 68510-4184
(402) 489-8676
(402) 489-0258

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
150
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
150
PHARMACY LICENSE
NE
Enumeration date
07/14/2006
Last updated
08/29/2008
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