Healthcare Provider Details

I. General information

NPI: 1306974787
Provider Name (Legal Business Name): LOUISVILLE DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 09/19/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 MAIN ST
LOUISVILLE NE
68037-6032
US

IV. Provider business mailing address

213 MAIN ST P.O. BOX 339
LOUISVILLE NE
68037-6032
US

V. Phone/Fax

Practice location:
  • Phone: 402-234-3025
  • Fax: 402-234-3026
Mailing address:
  • Phone: 402-234-3025
  • Fax: 402-234-3026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number2728
License Number StateNE
# 3
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KITRAN GEISE
Title or Position: OWNER
Credential:
Phone: 402-234-3025