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EXTENDCARE THE PHARMACY INC NPI 1538348842


NPI Information

NPI: 1538348842
Provider Name: EXTENDCARE THE PHARMACY INC

Doing Business As: RELYCARE LTC LINCOLN

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
1219 N COTNER BLVD
LINCOLN, NE
ZIP 68505
Phone: (402) 466-6083
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EXTENDCARE THE PHARMACY INC is a long term care pharmacy pharmacy in Lincoln, NE. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. EXTENDCARE THE PHARMACY INC NPI is 1538348842. The provider is registered as an organization entity type.
The provider Is Doing Business As Relycare Ltc Lincoln.

The provider's business location address is:

1219 N COTNER BLVD
LINCOLN, NE
ZIP 68505-837
Phone: (402) 466-6083
Fax: (402) 466-6086

The provider's authorized official is Stevan Osenbaugh .
The authorized official title is President and has the following contact phone number (402) 466-7283.

The enumeration date for this NPI number is 11/2/2007 and was last updated on 10/19/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care Pharmacy2978NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12055930OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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