Whalio Doctors

NPI 1003456005

Tgsc Ventures, LLC

Organisation Community/Retail Pharmacy Broken Bow, NE

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
Suppliers Taxonomy 3336C0003X
Long Term Care Pharmacy
Suppliers Taxonomy 3336L0003X

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.