Providence Medical Center

NPI #1700626645 in Wayne, Nebraska

Provider Information

NPI Number
1700626645
Entity Type
Organization
Organization Name
Providence Medical Center
Primary Specialty
Pharmacy - Long Term Care Pharmacy
Enumeration Date
May 29, 2024
Last Updated
May 29, 2024

Practice Location

Address
803 PROVIDENCE RD STE 101
City
Wayne
ZIP Code
68787-1590
Phone
(402) 375-8862

Authorized Official

Name
KIMBERLY LUEDERS
Title
PHARMACY DIRECTOR
Phone
(402) 375-7920

Specialties & Taxonomy Codes

Specialty
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy

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