Healthcare Provider Details

I. General information

NPI: 1407996895
Provider Name (Legal Business Name): R & V INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 08/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 S 10TH ST
OMAHA NE
68108-1610
US

IV. Provider business mailing address

2701 S 10TH ST
OMAHA NE
68108-1610
US

V. Phone/Fax

Practice location:
  • Phone: 402-342-1731
  • Fax: 402-345-3922
Mailing address:
  • Phone: 402-342-1731
  • Fax: 402-345-3922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number1508
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number1508
License Number StateNE

VIII. Authorized Official

Name: ROB M ALBERS
Title or Position: PHARMACIST
Credential:
Phone: 402-342-1731