Provider Demographics
NPI:1861082133
Name:REDLINE PHARMACY SOLUTIONS LLC
Entity type:Organization
Organization Name:REDLINE PHARMACY SOLUTIONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:REDLINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-462-2929
Mailing Address - Street 1:2415 OSBORNE DR E STE 100
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-1999
Mailing Address - Country:US
Mailing Address - Phone:402-462-2929
Mailing Address - Fax:402-462-2932
Practice Address - Street 1:2415 OSBORNE DR E STE 100
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-1999
Practice Address - Country:US
Practice Address - Phone:402-462-2929
Practice Address - Fax:402-462-2932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-21
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy