Organization
BP INC
Active
Other names
Medicine Man Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JED LEWIS (VICE PRESIDENT)
(402) 496-9757
Entity
Organization
Contact information
Practice address
15615 PACIFIC ST STE 8, OMAHA, NE 68118-2118
(402) 496-9757
(402) 496-9788
Mailing address
15615 PACIFIC ST STE 8, OMAHA, NE 68118-2118
(402) 496-9757
(402) 496-9788
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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