OrganizationActive
Northeast Nebraska Ltc, LLC
NPI 1033502950 · Long Term Care Pharmacy · Norfolk, NE
Provider details
- NPI number
- 1033502950
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Parent organization
- Vital Care Pharmacy of Norfolk, Inc
- Organization subpart
- Yes
- Authorized official
- Mitchell Deines, Member/Director(402) 223-4779
- License
- 605 (NE)
Specialties & taxonomies
Suppliers
Practice location
120 N 27th St
Suite 200
Norfolk, NE 68701-3286
Phone: (402) 371-3444
Fax: (402) 371-3566
Approximate (ZIP-level) locationGet directions
Mailing address
120 N 27th St
Norfolk, NE 68701-3286
Registry dates
- Enumerated
- 2015-03-17
- Last updated
- 2015-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.