Medicine Man Pharmacy

LBN: Bp Inc
Medicine Man Pharmacy is an health care organization with primary practice located at 15615 Pacific St Ste 8 , Omaha NE 68118-2118. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Bp Inc can be contacted via phone (402) 496-9757, or through Lewis, Jed via phone (402) 496-9757.

Contact Information

Primary practice address
15615 Pacific St Ste 8 Omaha NE 68118-2118
Phone: (402) 496-9757
Fax: (402) 496-9788
Website:
Map and Directions
Authorized official contact:
Name: Lewis, Jed PHARMD
Phone: (402) 496-9757

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2047 Nebraska

Profile Details

NPI number 1851448898
LBN Legal business name Bp Inc
DBA Doing business as Medicine Man Pharmacy
Authorized official Lewis, Jed PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2007
Last updated Dec 26th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851448898 NPPES
Other 2055104 PK
Other 2047 PK

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