Skagway Pharmacy # 1

LBN: Skagway Disc Dept. Stores, Inc.
Skagway Pharmacy # 1 is an health care organization with primary practice located at 620 State St , Grand Island NE 68801-3552. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Skagway Disc Dept. Stores, Inc. can be contacted via phone (308) 384-8228, or through Bolton, Tim W via phone (308) 384-8222.

Contact Information

Primary practice address
620 State St Grand Island NE 68801-3552
Phone: (308) 384-8228
Fax: (308) 384-6835
Website:
Map and Directions
Authorized official contact:
Name: Bolton, Tim W
Phone: (308) 384-8222

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 931 Nebraska

Profile Details

NPI number 1720120025
LBN Legal business name Skagway Disc Dept. Stores, Inc.
DBA Doing business as Skagway Pharmacy # 1
Authorized official Bolton, Tim W
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1720120025 NPPES
Nebraska Other 2800779 NCPDP OR NABP NO.

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