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Contact Information

REDLERS PROFESSIONAL PHARMACY INC
1010 W 29TH ST
STE 208
SOUTH SIOUX CITY, NE68776
 Phone: 402-494-5542
 Fax: 402-494-2207
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for REDLERS PROFESSIONAL PHARMACY INC

NPI # 1790885770
LBN Legal business name REDLERS PROFESSIONAL PHARMACY INC
Authorized official LOWELL REDLER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/22/2006
Last updated 09/15/2009 - About 17 years ago
Identifiers
NE License # 1408
IA Medicaid 0970814
Other 2804741 OTHER ID NUMBER
Other 2804741 OTHER ID NUMBER-COMMERCIAL NUMBER
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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