Organization
SHERDA ENTERPRISES LLC
Active
Other names
Lieske's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE LIESKE (OWNER)
(308) 425-3319
Entity
Organization
Contact information
Practice address
1312 Q ST, FRANKLIN, NE 68939-1071
(308) 425-3319
(308) 425-3602
Mailing address
1312 Q ST, FRANKLIN, NE 68939-1071
(308) 425-3319
(308) 425-3602
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2894
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2127923
PK
—
Enumeration date
12/08/2010
Last updated
07/16/2013
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