Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence Medical Center

Organization Long Term Care Pharmacy · NPI 1700626645

Providence Medical Center is a Long Term Care Pharmacy in Wayne, Nebraska. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

803 Providence Rd Ste 101
Wayne, NE 68787-1590
Phone: (402) 375-8862
Fax: (402) 375-8863
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X

Record details

NPI number1700626645
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Lueders — Pharmacy Director · (402) 375-7920
Other names Providence Community Pharmacy
NPI enumeratedMay 29, 2024
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024
Mailing address1200 Providence Rd, Wayne, NE 68787-1212

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