NPI 1003456005
Tgsc Ventures, LLC
Practice location
- Address
- 540 S 8th Ave, Broken Bow, NE 68822-2456
- Phone
- (308) 872-5231
- Fax
- (308) 872-2377
Authorised official
- Name
- Tyler Gavin Sturgeon
- Title
- Pic
- Phone
- (308) 529-1224
Registered specialties (2)
Community/Retail Pharmacy
Primary
Long Term Care Pharmacy
Registry record
- NPI
- 1003456005
- Entity type
- Organization
- NPI issued
- 8 Jan 2020
- Record last updated
- 15 Jun 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.