Brooksiderx Llc

LBN: Brooksiderx Llc
Brooksiderx Llc is an health care organization with primary practice located at 11020 Q St , Omaha NE 68137-3742. 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. Brooksiderx Llc can be contacted via phone (402) 374-4021, or through Hurley, Kristi Lynn via phone (402) 281-1957.

Contact Information

Primary practice address
11020 Q St Omaha NE 68137-3742
Phone: (402) 374-4021
Fax: (402) 403-4149
Website:
Map and Directions
Authorized official contact:
Name: Hurley, Kristi Lynn RPH
Phone: (402) 281-1957

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 675 Nebraska

Profile Details

NPI number 1437504669
LBN Legal business name Brooksiderx Llc
DBA Doing business as Brooksiderx Llc
Authorized official Hurley, Kristi Lynn RPH
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2016
Last updated Jan 10th, 2018 - about 8 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 1437504669 NPPES
Other 2159748 PK

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