Havelock Neighborhood Pharmacy

LBN: Havelock Neighborhood Pharmacy
Havelock Neighborhood Pharmacy is an health care organization with primary practice located at 5844 Fremont St , Lincoln NE 68507-1661. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Havelock Neighborhood Pharmacy can be contacted via phone (402) 466-5555, or through Deines, Mitchell via phone (402) 223-4779.

Contact Information

Primary practice address
5844 Fremont St Lincoln NE 68507-1661
Fax: (402) 465-8593
Website:
Authorized official contact:
Name: Deines, Mitchell RP

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 287 Nebraska

Profile Details

NPI number 1003942400
LBN Legal business name Havelock Neighborhood Pharmacy
DBA Doing business as
Authorized official Deines, Mitchell RP
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
Last updated Sep 12th, 2007 - about 17 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 1003942400 NPPES
Other 2815491 OTHER ID NUMBER-COMMERCIAL NUMBER
Other 2815491 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 47081569700 OTHER ID NUMBER-COMMERCIAL NUMBER

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