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General NPI Number Information
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NPI Number | 1689093031
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Entity Type | Organization
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Legal Business Name | LOUP CITY RX SHOPPE INC
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Dates
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Enumeration Date | 04/14/2014
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 133 S 7TH ST
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City | LOUP CITY
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State | NE
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Zip | 68853-8019
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Country | US
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Telephone | 308-745-2109
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Fax | 308-745-2111
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Provider Business Mailing Address
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Address Line | 133 S 7TH ST
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City | LOUP CITY
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State | NE
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Zip | 68853-8019
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Country | US
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Telephone | 308-745-2109
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Fax | 308-745-2111
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Authorized Official
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Title or Position | MANAGER
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Name | KASI BODYFIELD
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Credential |
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Telephone | 308-745-2109
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 3020
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License Number State | NE
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