Organization
JERRY L LAGERSTROM
Active
Organization
JERRY L LAGERSTROM
Active
Other names
HERITAGE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY LAGERSTROM RPH (OWNER)
(402) 296-4455
Entity
Organization
Contact information
Practice address
517 MAIN ST, PLATTSMOUTH, NE 68048-1963
(402) 296-4455
(402) 296-4400
Mailing address
517 MAIN STREET, PLATTSMOUTH, NE 68048
(402) 296-4455
(402) 296-4400
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2349
NE
Other
Enumeration date
02/07/2007
Last updated
06/13/2008
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