Healthcare Provider Details

I. General information

NPI: 1902995103
Provider Name (Legal Business Name): VOGT PHARMACIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 12/31/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 VALLEY VIEW DR
PENDER NE
68047-4509
US

IV. Provider business mailing address

PO BOX 189
PENDER NE
68047-0189
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 Number526
License Number StateNE

VIII. Authorized Official

Name: MARK VOGT
Title or Position: PRESIDENT
Credential:
Phone: 402-578-9734