Organization
GENOA COMMUNITY PHARMACY
Active
Other names
Geneoa Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BAILEY (PHARMACIST/OWNER)
(402) 366-1417
Entity
Organization
Contact information
Practice address
508 WILLARD AVE, GENOA, NE 68640-3039
(402) 993-2400
(402) 993-2421
Mailing address
PO BOX 10, GENOA, NE 68640-0010
(402) 993-2400
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2928
NE
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025721600
—
NE
01
—
2118928
PK
—
Enumeration date
02/06/2009
Last updated
09/22/2014
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