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Contact Information

DTAG PHARMACIES INC
2123 CENTRAL AVE
KEARNEY, NE68847-5303
 Phone: 308-237-2178
 Fax: 308-237-0287
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for DTAG PHARMACIES INC

NPI Number 1487794921
LBN Legal business name DTAG PHARMACIES INC
Authorized official AMY BRANDT - (OWNER/PRES/PIC)
Entity Organization
Organization subpart 1 No
Enumeration date 02/07/2007
Last updated 06/20/2016 - About 10 years ago
Identifiers
NE License # 2886
NE Medicaid 10025670000
Other 2052788 PK
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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