Healthcare Provider Details

I. General information

NPI: 1922150275
Provider Name (Legal Business Name): FRIENDLY NEIGHBOR HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 05/04/2020
Certification Date: 05/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 W ST JOSEPH ST
SPALDING NE
68665-6007
US

IV. Provider business mailing address

PO BOX 40
SPALDING NE
68665-0040
US

V. Phone/Fax

Practice location:
  • Phone: 308-497-2250
  • Fax: 308-497-2250
Mailing address:
  • Phone: 308-497-2250
  • Fax: 308-497-2250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number700
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. KURT J CARRAHER
Title or Position: OWNER/MANAGER
Credential: PHARM D.
Phone: 308-497-2250