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LOUDERBACK DRUG OF MADISON INC

Specialty Pharmacy

Madison, Nebraska

Provider NPI: 1497869465

Organization Information:
Organization Name:  LOUDERBACK DRUG OF MADISON INC


Practice Location:
201 S MAIN ST  MADISON, NE 68748 US
Tel: 402-454-2525  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
N3336S0011XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
NE2671

Other Provider Identifiers:

IssuerNumberStateType
PK205549801
4708556900NE05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




PHARMACY JOBS NE - Page 1



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