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Contact Information

ALIVATION PHARMACY, LLC
8550 CUTHILLS CIR
LINCOLN, NE68526-9474
 Phone: 402-476-5686
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for ALIVATION PHARMACY, LLC

NPI # 1215473293
LBN Legal business name ALIVATION PHARMACY, LLC
Authorized official WALTER DUFFY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/13/2017
Last updated 01/13/2017 - About 9 years ago
Identifiers
NE License # 684
NE Other 684 NE BOARD OF PHARMACY
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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