Dave'S Pharmacy

LBN: Keystonerx Corporation, Inc.
Dave'S Pharmacy is an health care organization with primary practice located at 223 Box Butte Ave , Alliance NE 69301-3741. 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. Keystonerx Corporation, Inc. can be contacted via phone (308) 762-4811, or through Randolph, David via phone (308) 760-1966.

Contact Information

Primary practice address
223 Box Butte Ave Alliance NE 69301-3741
Phone: (308) 762-4811
Fax: (308) 487-3409
Website:
Map and Directions
Authorized official contact:
Name: Randolph, David
Phone: (308) 760-1966

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 718 Nebraska

Profile Details

NPI number 1093206062
LBN Legal business name Keystonerx Corporation, Inc.
DBA Doing business as Dave'S Pharmacy
Authorized official Randolph, David
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2018
Last updated May 24th, 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 1093206062 NPPES
Nebraska MEDICAID 100264060-00
Nebraska Other 2177805

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