Organization
BRYAN PLAZA PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG DEAN MOORE RPH (PHARMACY MANAGER)
(402) 481-3034
Entity
Organization
Contact information
Practice address
1500 S 48TH ST, LINCOLN, NE 68506-1225
(402) 481-8383
(402) 481-3834
Mailing address
1500 S 48TH ST, LINCOLN, NE 68506-1225
(402) 481-8383
(402) 481-3834
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2217
NE
Other
Enumeration date
12/06/2005
Last updated
08/22/2020
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