Healthcare Provider Details

I. General information

NPI: 1457340408
Provider Name (Legal Business Name): HOME PRESCRIPTION SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2005
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11134 Q ST
OMAHA NE
68137-3609
US

IV. Provider business mailing address

11134 Q ST
OMAHA NE
68137-3609
US

V. Phone/Fax

Practice location:
  • Phone: 402-592-5244
  • Fax: 402-592-2501
Mailing address:
  • Phone: 402-592-5244
  • Fax: 402-592-2501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number3586
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number2639
License Number StateNE

VIII. Authorized Official

Name: MR. TIMOTHY S DECKER
Title or Position: PRESIDENT
Credential:
Phone: 402-592-5244