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
Fax: (402) 652-8219
Website:
Authorized official contact:
Name: Staiger, Mitch PHARMD

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285044032 NPPES
Other 2146052 PK
Other 3034 PK
MEDICAID 10026406100 PK

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