Provider Demographics
NPI:1073693735
Name:NADENS PHARMACY
Entity Type:Organization
Organization Name:NADENS PHARMACY
Other - Org Name:NADENS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NADEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-425-3319
Mailing Address - Street 1:1312 Q ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NE
Mailing Address - Zip Code:68939-1071
Mailing Address - Country:US
Mailing Address - Phone:308-425-3319
Mailing Address - Fax:308-425-3602
Practice Address - Street 1:1312 Q ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NE
Practice Address - Zip Code:68939-1071
Practice Address - Country:US
Practice Address - Phone:308-425-3319
Practice Address - Fax:308-425-3602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE15333336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4329720001Medicare NSC