NPI | 1003047507 |
---|---|
Doing Business As | PVPL PHARMACY |
Entity Type | Organization |
Authorized Contact | JENNIFER O'GRADY PIC, Pharmacy Manager 402-829-5239 |
Organization Subpart ? | No |
Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: NE 2841) |
Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
Enumeration Date | 2009-07-31 |
Last Update Date | 2010-05-28 |