Frontier Family Pharmacy

LBN: Tgsc Ventures, Llc
Frontier Family Pharmacy is an health care organization with primary practice located at 540 S 8Th Ave , Broken Bow NE 68822-2456. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Tgsc Ventures, Llc can be contacted via phone (308) 872-5231, or through Sturgeon, Tyler Gavin via phone (308) 529-1224.

Contact Information

Primary practice address
540 S 8Th Ave Broken Bow NE 68822-2456
Phone: (308) 872-5231
Fax: (308) 872-2377
Website:
Map and Directions
Authorized official contact:
Name: Sturgeon, Tyler Gavin
Phone: (308) 529-1224

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1003456005
LBN Legal business name Tgsc Ventures, Llc
DBA Doing business as Frontier Family Pharmacy
Authorized official Sturgeon, Tyler Gavin
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2020
Last updated Jun 15th, 2021 - about 5 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 1003456005 NPPES
Nebraska MEDICAID 10026649601

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