Healthcare Provider Details

I. General information

NPI: 1558374140
Provider Name (Legal Business Name): CW INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 09/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 MAIN ST
NELIGH NE
68756-1423
US

IV. Provider business mailing address

410 MAIN ST
NELIGH NE
68756-1423
US

V. Phone/Fax

Practice location:
  • Phone: 402-887-5426
  • Fax: 402-887-4595
Mailing address:
  • Phone: 402-887-5426
  • Fax: 402-887-4595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number2845
License Number StateNE

VIII. Authorized Official

Name: DANELLE CHARF
Title or Position: OWNER
Credential:
Phone: 402-887-5426