Healthcare Provider Details

I. General information

NPI: 1790886695
Provider Name (Legal Business Name): VOGT PHARMACIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 06/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 W 16TH ST
SCHUYLER NE
68661-1668
US

IV. Provider business mailing address

PO BOX 351
SCHUYLER NE
68661-0351
US

V. Phone/Fax

Practice location:
  • Phone: 402-352-3020
  • Fax: 402-352-5820
Mailing address:
  • Phone: 402-352-3020
  • Fax: 402-352-5820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number3076
License Number StateNE

VIII. Authorized Official

Name: MARK VOGT
Title or Position: OWNER, AO
Credential:
Phone: 402-509-8777