Healthcare Provider Details

I. General information

NPI: 1972630234
Provider Name (Legal Business Name): SANTEE CLINIC HEALTH CENTER PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 S. VISITING EAGLE STREET
NIOBRARA NE
68760
US

IV. Provider business mailing address

PO BOX 303 SANTEE HEALTH CENTER - ATTN PHARMACY
NIOBRARA NE
68760
US

V. Phone/Fax

Practice location:
  • Phone: 402-857-2901
  • Fax: 402-857-2911
Mailing address:
  • Phone: 402-857-2901
  • Fax: 402-857-2911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332800000X
TaxonomyIndian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ERIN BAUMFALK
Title or Position: PHARMACIST
Credential: PHARM-D
Phone: 402-857-2901