Organization
KEITHS DRIVE IN DRUGS INC
Active
Organization
KEITHS DRIVE IN DRUGS INC
Active
Other names
KEITHS MEDICAL PARK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA JEAN GOLLNER PHARM D R.P. (PRESIDENT)
(402) 462-6101
Entity
Organization
Contact information
Practice address
2115 N KANSAS AVE, HASTINGS, NE 68901-2640
(402) 463-0515
(402) 463-5254
Mailing address
2115 N KANSAS AVE, SUITE 101, HASTINGS, NE 68901-2640
(402) 463-0515
(402) 463-5254
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2153
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2054225
PK
—
Enumeration date
08/31/2006
Last updated
09/28/2022
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