Provider Demographics
NPI:1083147557
Name:LAMBERTS FAMILY PHARMACY LLC
Entity Type:Organization
Organization Name:LAMBERTS FAMILY PHARMACY LLC
Other - Org Name:LAMBERT'S FAMILY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, PIC, AO
Authorized Official - Prefix:
Authorized Official - First Name:ABBEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:308-227-1784
Mailing Address - Street 1:814 1ST ST
Mailing Address - Street 2:
Mailing Address - City:GIBBON
Mailing Address - State:NE
Mailing Address - Zip Code:68840-6206
Mailing Address - Country:US
Mailing Address - Phone:308-468-5210
Mailing Address - Fax:308-468-5210
Practice Address - Street 1:814 1ST ST
Practice Address - Street 2:
Practice Address - City:GIBBON
Practice Address - State:NE
Practice Address - Zip Code:68840-6206
Practice Address - Country:US
Practice Address - Phone:308-468-5210
Practice Address - Fax:308-468-5210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-11
Last Update Date:2018-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NE6913336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2168820OtherPK