Organization
REDLERS LTC PHARMACY LLC
Active
Other names
Redlers LTC Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TROY REDLER (PRESIDENT)
(712) 560-2219
Entity
Organization
Contact information
Practice address
13831 CHALCO VALLEY PKWY STE 101, OMAHA, NE 68138-6101
(402) 592-5244
(402) 763-6523
Mailing address
13831 CHALCO VALLEY PKWY, STE 101, OMAHA, NE 68138-6101
(402) 592-5244
(402) 763-6523
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
3053
NE
3336L0003X
Long Term Care Pharmacy
Primary
3705
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151877
PK
—
Enumeration date
05/18/2015
Last updated
07/18/2016
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