Provider Demographics
NPI:1861458085
Name:TOOLEY DRUG COMPANY
Entity Type:Organization
Organization Name:TOOLEY DRUG COMPANY
Other - Org Name:TOOLEY DRUG AND HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:C
Authorized Official - Last Name:TOOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RP
Authorized Official - Phone:402-564-7397
Mailing Address - Street 1:2615 13TH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NE
Mailing Address - Zip Code:68601-4915
Mailing Address - Country:US
Mailing Address - Phone:402-564-7397
Mailing Address - Fax:402-564-1979
Practice Address - Street 1:2615 13TH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-4915
Practice Address - Country:US
Practice Address - Phone:402-564-7397
Practice Address - Fax:402-564-1979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-25
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1147332B00000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========00Medicaid
NE0184380001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER