Healthcare Provider Details

I. General information

NPI: 1508390733
Provider Name (Legal Business Name): FRIENDLY NEIGHBOR HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2017
Last Update Date: 07/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 S 4TH ST
ALBION NE
68620-1215
US

IV. Provider business mailing address

113 S 4TH ST
ALBION NE
68620-1215
US

V. Phone/Fax

Practice location:
  • Phone: 402-395-2184
  • Fax: 402-395-2185
Mailing address:
  • Phone: 402-395-2184
  • Fax: 402-395-2185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number StateNE
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateNE

VIII. Authorized Official

Name: MR. KURT J CARRAHER
Title or Position: MANAGER/OWNER
Credential: PHARM D.
Phone: 402-395-2184