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ALIVATION PHARMACY LLC NPI 1609310192


NPI Information

NPI: 1609310192
Provider Name: ALIVATION PHARMACY LLC

Doing Business As: ALIVATION PHARMACY, LLC

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
8550 CUTHILLS CIR
LINCOLN, NE
ZIP 68526
Phone: (402) 476-5686
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ALIVATION PHARMACY LLC is a pharmacy in Lincoln, NE. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. ALIVATION PHARMACY LLC NPI is 1609310192. The provider is registered as an organization entity type.
The provider Is Doing Business As Alivation Pharmacy, Llc.

The provider's business location address is:

8550 CUTHILLS CIR
LINCOLN, NE
ZIP 68526-474
Phone: (402) 476-5686
Fax: (402) 484-0524

The provider's authorized official is Walter Duffy .
The authorized official title is Owner and has the following contact phone number (402) 476-5686.

The enumeration date for this NPI number is 12/19/2016 and was last updated on 1/20/2017.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacy684NEBRASKAYes
33336C0003XPharmacyCommunity/Retail PharmacyNo

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
12166776OTHERPK

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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