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NPI Code Detail

MEDICARE: GERIMED, INC.

MEDICARE: GERIMED, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336L0003XLong Term Care Pharmacy2038NE

General Provider Information

NPI Number : 1437158235
Entity Type Code : Organization
Provider Name (Legal Business Name) : GERIMED, INC.
Provider Business Mailing Address
First Line : 7915 N 30TH ST
Second Line :
City : OMAHA
State : NE
Zip : 68112-2418
Country : US
Telephone Number : 402-827-6080
Fax Number : 402-827-6085
Provider Business Practice Location Address
First Line : 7915 N 30TH ST
Second Line :
City : OMAHA
State : NE
Zip : 68112-2418
Country : US
Telephone Number : 402-827-6080
Fax Number : 402-827-6085
Authorized Official
Title or Position : VICE PRESIDENT OF FINANCE & CFO
Name : DEBRA THACKER
Credential :
Telephone Number : 402-827-6053
Provider Enumeration Date : 07/14/2005
Last Update Date : 02/22/2018

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Directions to “GERIMED, INC. ” Practice Location

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