Organization
CHEYENNE COUNTY HSPTL ASSOCIATION INC
Active
Other names
MEMORIAL HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE JOHNSON PHARM D (CEO)
(308) 254-5070
Entity
Organization
Contact information
Practice address
645 OSAGE ST, SIDNEY, NE 69162-1707
(308) 254-8094
(308) 254-8091
Mailing address
645 OSAGE ST, SIDNEY, NE 69162-1707
(308) 254-8094
(308) 254-8091
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
2511
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025091000
—
NE
01
—
2054717
PK
—
Enumeration date
08/14/2006
Last updated
09/22/2016
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