Geneoa Community Pharmacy

LBN: Genoa Community Pharmacy
Geneoa Community Pharmacy is an health care organization with primary practice located at 508 Willard Ave , Genoa NE 68640-3039. 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. Genoa Community Pharmacy can be contacted via phone (402) 993-2400, or through Bailey, Robert via phone (402) 366-1417.

Contact Information

Primary practice address
508 Willard Ave Genoa NE 68640-3039
Phone: (402) 993-2400
Fax: (402) 993-2421
Website:
Map and Directions
Authorized official contact:
Name: Bailey, Robert
Phone: (402) 366-1417

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 2928 Nebraska
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1902045479
LBN Legal business name Genoa Community Pharmacy
DBA Doing business as Geneoa Community Pharmacy
Authorized official Bailey, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2009
Last updated Sep 22nd, 2014 - about 10 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 1902045479 NPPES
Other 2118928 PK
MEDICAID 10025721600 PK

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