Organization
VALLEY MAN LLC
Active
Parent organization
BP INC
Other names
Medicine Man Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
BP INC
Authorized official
JED LEWIS PHARMD (VICE PRESIDENT)
(402) 652-3217
Entity
Organization
Contact information
Practice address
123 E GARDINER ST, VALLEY, NE 68064-9798
(402) 359-2284
Mailing address
PO BOX 437, NORTH BEND, NE 68649-0437
(402) 652-3217
(402) 652-8219
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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