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1851461636 NPI number — MEMORIAL HEALTH CARE SYSTEMS

NPI Number: 1851461636
Health Care Provider/Practitioner: MEMORIAL HEALTH CARE SYSTEMS

Information about “1851461636” NPI (MEMORIAL HEALTH CARE SYSTEMS) exists in 1851461636 in HTML format HTML  |  1851461636 in plain Text format TXT  |  1851461636 in PDF (Portable Document Format) PDF  |  1851461636 in an XML format XML  formats.

NPI Number : 1851461636 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851461636",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MEMORIAL HEALTH CARE SYSTEMS",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "250 N COLUMBIA AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SEWARD",
    "MailingAddressStateName": "NE",
    "MailingAddressPostalCode": "68434-2226",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "402-646-4607",
    "MailingAddressFaxNumber": "402-646-4659",
    "FirstLinePracticeLocationAddress": "250 N COLUMBIA AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SEWARD",
    "PracticeLocationAddressStateName": "NE",
    "PracticeLocationAddressPostalCode": "68434-2226",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "402-646-4607",
    "PracticeLocationAddressFaxNumber": "402-646-4659",
    "EnumerationDate": "11/08/2006",
    "LastUpdateDate": "03/10/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DYER",
    "AuthorizedOfficialFirstName": "STACIE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PHARMACIST IN CHARGE",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PHARMD",
    "AuthorizedOfficialTelephoneNumber": "402-646-4607",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "333600000X",
          "TaxonomyName": "Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336C0002X",
          "TaxonomyName": "Clinic Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336C0003X",
          "TaxonomyName": "Community/Retail Pharmacy",
          "LicenseNumber": "2083",
          "LicenseNumberStateCode": "NE",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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