Blake'S Pharmacy

LBN: Louisville Drug Inc
Blake'S Pharmacy is an health care organization with primary practice located at 213 Main St , Louisville NE 68037-6032. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Louisville Drug Inc can be contacted via phone (402) 234-3025, or through Geise, Kitran via phone (402) 234-3025.

Contact Information

Primary practice address
213 Main St Louisville NE 68037-6032
Phone: (402) 234-3025
Fax: (402) 234-3026
Website:
Map and Directions
Authorized official contact:
Name: Geise, Kitran
Phone: (402) 234-3025

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2728 Nebraska
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1306974787
LBN Legal business name Louisville Drug Inc
DBA Doing business as Blake'S Pharmacy
Authorized official Geise, Kitran
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2007
Last updated Feb 8th, 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 1306974787 NPPES
Nebraska MEDICAID 10025714400
Nebraska Other 2054247

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