Professional Compounding Center of Southeast Nebraska INC

NPI #1073514477 in Beatrice, Nebraska

Provider Information

NPI Number: 1073514477
Entity Type: Organization
Organization Name: Professional Compounding Center of Southeast Nebraska INC
Primary Specialty: Pharmacist
Enumeration Date: Aug 9, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 910 E COURT ST
Address 2: STE B
City: Beatrice
State: Nebraska
ZIP Code: 68310-4085
Phone: (402) 223-4774

Authorized Official

Name: MITCHELL E DEINES, RP
Title: PRESIDENT
Phone: (402) 223-4774

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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