Healthcare Provider Details

I. General information

NPI: 1477666386
Provider Name (Legal Business Name): WAGEY DRUG CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 11/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 N 27TH ST
LINCOLN NE
68503-2523
US

IV. Provider business mailing address

800 N 27TH ST
LINCOLN NE
68503-2523
US

V. Phone/Fax

Practice location:
  • Phone: 402-476-3341
  • Fax: 402-476-3586
Mailing address:
  • Phone: 402-476-3341
  • Fax: 402-476-3586

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number2155
License Number StateNE

VIII. Authorized Official

Name: MR. GARY EUGENE RIHANEK
Title or Position: PRESIDENT PHARMACIST
Credential: RPH
Phone: 402-476-3341