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General NPI Number Information
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NPI Number | 1376424978
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Entity Type | Organization
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Legal Business Name | BLUESKY PHARMACY LLC
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 10819 S 204TH AVENUE CIR STE 1
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City | GRETNA
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State | NE
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Zip | 68028-4048
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Country | US
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Telephone | 531-359-2205
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Fax | 531-600-7769
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Provider Business Mailing Address
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Address Line | 10819 S 204TH AVENUE CIR STE 1
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City | GRETNA
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State | NE
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Zip | 68028-4048
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Country | US
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Telephone | 531-359-2205
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Fax | 531-600-7769
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Authorized Official
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Title or Position | SENIOR DIRECTOR OF PHARMACY
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Name | DR. DANIEL PERINA
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Credential | PHARMD.
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Telephone | 402-909-2447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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