Medicine Man Pharmacy
LBN: Blps Llc
Medicine Man Pharmacy is an health care organization with primary practice located at 748 Main St , North Bend NE 68649-5003. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Blps Llc can be contacted via phone (402) 652-3217, or through Staiger, Mitch via phone (402) 652-3217.
Contact Information
Primary practice address
748 Main St
North Bend NE 68649-5003
Phone: (402) 652-3217
Fax: (402) 652-8219
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | 3034 | Nebraska |
Suppliers / Mail Order Pharmacy | 3336M0002X | ||
Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
NPI number | 1285044032 |
---|---|
LBN Legal business name | Blps Llc |
DBA Doing business as | Medicine Man Pharmacy |
Authorized official | Staiger, Mitch PHARMD |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 2nd, 2014 |
Last updated | Dec 26th, 2019 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1285044032 | NPPES |
Other | 2146052 | PK | |
Other | 3034 | PK | |
MEDICAID | 10026406100 | PK |
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