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GRETNA DRUG NPI 1457435711


NPI Information

NPI: 1457435711
Provider Name: GRETNA DRUG
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
820 VILLAGE SQ
GRETNA, NE
ZIP 68028
Phone: (402) 332-5990
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GRETNA DRUG is a pharmacy in Gretna, 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. GRETNA DRUG NPI is 1457435711. The provider is registered as an organization entity type.

The provider's business location address is:

820 VILLAGE SQ
GRETNA, NE
ZIP 68028-914
Phone: (402) 332-5990
Fax: (402) 332-0266

The provider's authorized official is Mitchel Scott Wendlandt .
The authorized official title is Owner Pharmacist and has the following contact phone number (402) 332-5990.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 1/29/2009.


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
1333600000XPharmacy2604NEBRASKAYes

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
12816710OTHERNEBRASKANABP #
2=========MEDICARE UPINNEBRASKA
310025112900MEDICAIDNEBRASKA
45124630001MEDICARE NSCNEBRASKA
5099613MEDICARE PINNEBRASKA

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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