Healthcare Provider Details

I. General information

NPI: 1821103383
Provider Name (Legal Business Name): YUNGDAHLS APOTHECARY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 01/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 COMMERCIAL ST
STROMSBURG NE
68666-4414
US

IV. Provider business mailing address

PO BOX 774 309 COMMERCIAL ST
STROMSBURG NE
68666-0774
US

V. Phone/Fax

Practice location:
  • Phone: 402-764-2827
  • Fax: 402-764-2127
Mailing address:
  • Phone: 402-764-2827
  • Fax: 402-764-2887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number2324
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number2934
License Number StateNE

VIII. Authorized Official

Name: MRS. MARSHA KAY YUNGDAHL
Title or Position: PHARMACIST VICE PRESIDENT
Credential: RPH
Phone: 402-764-2827