Organization
STATE OF NEBRASKA DEPT OF ADMIN SERVICES
Active
Other names
LINCOLN REGIONAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LACEY DETERDING PHARMD (PHARMACY DIRECTOR)
(402) 479-5343
Entity
Organization
Contact information
Practice address
801 W PROSPECTOR PL, LINCOLN, NE 68522-1970
(402) 479-5343
(402) 479-5438
Mailing address
801 W PROSPECTOR PL, LINCOLN, NE 68522-1970
(402) 479-5343
(402) 479-5438
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
2517
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2054523
PK
—
Enumeration date
08/11/2006
Last updated
10/07/2016
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