| NPI | 1003942400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL DEINES President 402-223-4779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NE 287) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-09-12 |