NPI 1023104999

Alegent Creighton Health

Organisation Community/Retail Pharmacy Omaha, NE

Practice location

Address: 8613 N 30th St, Omaha, NE 68112-1852
Phone: (402) 451-2125
Fax: (402) 451-2401

Authorised official

Name: Mike Tiesi
Title: Senior Director of Pharmacy
Phone: (402) 343-4546

Registered specialties (2)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 2416 (NE)

Other Pharmacy providers in Nebraska →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in Nebraska →

Registry record

NPI: 1023104999
Entity type: Organization
NPI issued: 5 Oct 2006
Record last updated: 23 Oct 2017

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.