| NPI | 1003840265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HADDON HANES President/Pharmacist 308-882-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NE 2096) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |