Organization
MIDWEST HEALTH INNOVATIONS LLC
Active
Other names
Scribner Drugstore
Organization subpart
No
Provider details
NPI number
Authorized official
TILLARA L KRUSE PHARMD (VP)
(402) 664-3133
Entity
Organization
Contact information
Practice address
416 MAIN ST, SCRIBNER, NE 68057-3196
(402) 664-3133
(402) 664-3074
Mailing address
PO BOX 439, SCRIBNER, NE 68057-0439
(402) 664-3133
(402) 664-3074
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3102
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026578900
—
NE
01
—
2160948
PK
—
Enumeration date
08/18/2006
Last updated
09/18/2024
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