Provider Demographics
NPI:1063500684
Name:CS BOSCHE INC
Entity Type:Organization
Organization Name:CS BOSCHE INC
Other - Org Name:GERING U SAVE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:BOSCHE
Authorized Official - Suffix:
Authorized Official - Credentials:RP
Authorized Official - Phone:308-436-2181
Mailing Address - Street 1:1400 10TH ST
Mailing Address - Street 2:
Mailing Address - City:GERING
Mailing Address - State:NE
Mailing Address - Zip Code:69341-2817
Mailing Address - Country:US
Mailing Address - Phone:308-436-2181
Mailing Address - Fax:308-436-2765
Practice Address - Street 1:1400 10TH ST
Practice Address - Street 2:
Practice Address - City:GERING
Practice Address - State:NE
Practice Address - Zip Code:69341-2817
Practice Address - Country:US
Practice Address - Phone:308-436-2181
Practice Address - Fax:308-436-2765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE28123336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2800628OtherNCPDP
NE10025624200Medicaid
2800628OtherNCPDP