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Pine Lake Behavioral Health, Llc.
Pharmacy in Lincoln, Nebraska
NPI 1003310061

Pine Lake Behavioral Health, Llc. is a Pharmacy based in Lincoln, NE. Pine Lake Behavioral Health, Llc. practices in Lincoln, NE. The NPI Number for Pine Lake Behavioral Health, Llc. is 1003310061 and holds a License No. (Nebraska).

The current practice location address for Pine Lake Behavioral Health, Llc. is 9100 Andermatt Drive Suite 1, Lincoln, NE and can be reached out via phone at 402-434-2730 and via fax at 402-434-3970. You can also correspond with Pine Lake Behavioral Health, Llc. through the mailing address at 9100 ANDERMATT DR STE 1, LINCOLN, NE - 68526-6700 (mailing address contact number: 402-434-2730).

Location: 9100 Andermatt Drive Suite 1, Lincoln, NE, 68526-6700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003310061
Provider Name
Pine Lake Behavioral Health, Llc.
Credential
Provider Entity Type
Organization
Address
9100 Andermatt Drive Suite 1, Lincoln, NE, 68526-6700
Phone Number
402-434-2730
Fax Number
402-434-3970
Provider Enumeration Date
03/22/2018
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10026721200 05 NE
NA3283 01 NE MEDICARE PTAN
10026721201 05 NE
DY5949 01 NE RR MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
9100 Andermatt Drive Suite 1
City
Lincoln
State
Nebraska
Zip
68526-0000
Phone Number
402-434-2730
Fax Number
402-434-3970
person
Provider Business Mailing Address Details
Address
9100 Andermatt Drive Suite 1
City
Lincoln
State
Nebraska
Zip
68526-0000
Phone Number
402-434-2730
Fax Number
402-434-3970
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
(Nebraska)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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