Healthcare Provider Details

I. General information

NPI: 1548688534
Provider Name (Legal Business Name): PENDER CARE CENTRE DISTRICT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2014
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

958 WELLNESS WAY STE 2
PENDER NE
68047-4518
US

IV. Provider business mailing address

PO BOX 100
PENDER NE
68047-0100
US

V. Phone/Fax

Practice location:
  • Phone: 402-385-3350
  • Fax: 402-385-0155
Mailing address:
  • Phone: 402-385-3350
  • Fax: 402-385-0155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: LAURA J GAMBLE
Title or Position: CEO
Credential:
Phone: 402-385-3083