| Organization Name: | FATHER FLANAGANS BOYS HOME |
| NPI Number: | 1578740502 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID SONGSTER (DIR OF PHCY) |
| Mailing Address: | 14080 Hospital Rd Boys Town |
| State: | NE US |
| Postal Code: | 680107513 |
| Phone Number: | 4027786063 |
| Fax Number: | 4027786062 |
| NPI Enumeration Date: | 01/22/2008 |
| NPI Last Update Date: | 11/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336M0003X |
| License Number: | 2795 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Managed Care Organization Pharmacy |
| Taxonomy Definition: | A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO |