Organization
NEBRASKA MEDICAL CENTER
Active
Other names
Neb. Medicine Pharmacy at Lauritzen Outpatient Center
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL M. DAVIDSON RPH (PHARMACY MANAGER)
(402) 559-3287
Entity
Organization
Contact information
Practice address
4014 LEAVENWORTH STREET, OMAHA, NE 68198-5610
(402) 552-7999
(402) 552-7792
Mailing address
4014 LEAVENWORTH STREET, OMAHA, NE 68105
(402) 552-3927
(402) 559-5597
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
3114
NE
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2165727
PK
—
01
—
3114
NEBRASKA PHARMACY PERMIT
NE
Enumeration date
10/19/2016
Last updated
12/17/2019
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