Organization
THAYER COUNTY MEMORIAL HOSPITAL
Active
Parent organization
THAYER COUNTY MEMORIAL HOSPITAL
Other names
TCHS Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
THAYER COUNTY MEMORIAL HOSPITAL
Authorized official
SCOTT T COOK (INTERIM CEO)
(402) 768-6041
Entity
Organization
Contact information
Practice address
120 PARK AVE, HEBRON, NE 68370-2019
(402) 768-4611
(402) 768-4693
Mailing address
120 PARK AVE, HEBRON, NE 68370-2019
(402) 768-4611
(402) 768-4693
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
2492
NE
3336C0003X
Community/Retail Pharmacy
2492
NE
3336L0003X
Long Term Care Pharmacy
Primary
2492
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2492
STATE LICENSE
NE
01
—
2816366
NCPDP
NE
Enumeration date
11/16/2005
Last updated
07/14/2021
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