M Douglas Shaver
Pharmacy, Community/Retail Pharmacy in Hemingford, NE. Organization (NPI-2).
NPI number1720161748
StatusActive
Last updated in NPPESJul 1, 2013
Details
- NPI
- 1720161748
- Entity type
- Organization (NPI-2)
- Legal business name
- M Douglas Shaver
- Organization subpart
- No
- Enumeration date
- Oct 23, 2006
- Last updated
- Jul 1, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 1092 | NE | Yes |
| 333600000X | Pharmacy | – | – | |
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | |
| 3336M0002X | Pharmacy, Mail Order Pharmacy | – | – |
Other names
- Shavers Pharmacy (Doing Business As)
Practice location
508 Niobrara AveHemingford, NE 69348-9703
Phone 308-487-5212 · Fax 308-487-5235
Mailing address
Po Box 185Hemingford, NE 69348-0185
Phone 308-487-5212 · Fax 308-487-5235
Authorized official
M Douglas Shaver
Owner
3084875212
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