<Unavail>
LBN: North Platte Pavilion Pharmacy Inc
<Unavail> is an health care organization with primary practice located at 611 W Francis St Ste 130 , North Platte NE 69101-0614. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
North Platte Pavilion Pharmacy Inc can be contacted via phone (308) 221-6993, or through Covey, Travis via phone (308) 221-6993.
Contact Information
Primary practice address
611 W Francis St Ste 130
North Platte NE 69101-0614
Phone: (308) 221-6993
Fax: (308) 221-6997
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 3094 | Nebraska |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1124473418 |
|---|---|
| LBN Legal business name | North Platte Pavilion Pharmacy Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Covey, Travis RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 25th, 2016 |
| Last updated | Mar 30th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124473418 | NPPES |
| Nebraska | MEDICAID | 10026570500 | |
| Nebraska | Other | 2159808 |
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