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CROSIER PARK PHARMACY LLC NPI 1174520332


NPI Information

NPI: 1174520332
Provider Name: CROSIER PARK PHARMACY LLC
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
405 E 14TH ST
HASTINGS, NE
ZIP 68901
Phone: (402) 462-4600
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CROSIER PARK PHARMACY LLC is a pharmacy in Hastings, 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. CROSIER PARK PHARMACY LLC NPI is 1174520332. The provider is registered as an organization entity type.

The provider's business location address is:

405 E 14TH ST
HASTINGS, NE
ZIP 68901-204
Phone: (402) 462-4600
Fax: (402) 462-4605

The provider's authorized official is Scott A Kirkegaard .
The authorized official title is Owner and has the following contact phone number (402) 462-4600.

The enumeration date for this NPI number is 7/2/2005 and was last updated on 7/25/2013.


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
1333600000XPharmacy190NEBRASKAYes

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
15514040001MEDICARE NSCNEBRASKA
22817091OTHERNEBRASKANCPDP#
310025267700MEDICAIDNEBRASKA

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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