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NPI 1700626645

OrganizationActive

Providence Medical Center

NPI 1700626645 · Long Term Care Pharmacy · Wayne, NE

Provider details

NPI number: 1700626645
Entity type: Organization
Primary specialty: Long Term Care PharmacySuppliers
Authorized official: Kimberly Lueders, Pharmacy Director

Practice location

803 Providence Rd Ste 101

Wayne, NE 68787-1590

Phone: (402) 375-8862

Fax: (402) 375-8863

More NE providers

Mailing address

1200 Providence Rd

Wayne, NE 68787-1212

Registry dates

Enumerated: 2024-05-29
Last updated: 2024-05-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Providence Medical Center — NPI 1700626645, Wayne, NE | NPI Central