Organization
SOUTH LOUP COMMUNITY PHARMACY
Active
Other names
South Loup Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT D EGGLESTON (CEO)
(308) 836-2228
Entity
Organization
Contact information
Practice address
200 E PACIFIC ST, CALLAWAY, NE 68825-2500
(308) 836-2219
(308) 836-2625
Mailing address
200 E PACIFIC ST, P.O. BOX 220, CALLAWAY, NE 68825-2500
(308) 836-2219
(308) 836-2625
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2897
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2127586
PK
—
Enumeration date
11/16/2010
Last updated
12/30/2022
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