THINK AKSARBEN PHARMACY LLC
Managed Care Organization Pharmacy
Omaha, Nebraska
Provider NPI: 1437541315
Organization Information:Organization Name: THINK AKSARBEN PHARMACY LLC
Practice Location:
7100 W CENTER RD OMAHA, NE 68106 US
Tel: 402-506-9010 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
7100 W CENTER RD OMAHA, NE 68106 US
Tel: 402-506-9010 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336M0003X | Suppliers Pharmacy Managed Care Organization Pharmacy | ||
N | 3336C0002X | Suppliers Pharmacy | ||
N | 333600000X | Suppliers Pharmacy | NE | 3056 |
Y | 3336C0003X | Suppliers Pharmacy | IA | 4585 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
100265011-00 | NE | 05 | |
1437541315 | IA | 05 | |
PK | 2151210 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin