Organization
PENDER CARE CENTRE DISTRICT INC
Active
Other names
Wisner Apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA J GAMBLE (CEO)
(402) 385-3083
Entity
Organization
Contact information
Practice address
118 18TH ST, WISNER, NE 68791-2237
(402) 529-3550
Mailing address
PO BOX 100, PENDER, NE 68047-0100
(402) 385-3350
(402) 385-0155
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
672
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160775
PK
—
Enumeration date
06/09/2016
Last updated
06/19/2025
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