| NPI | 1033228754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALLEN VOGT Pharmacist 402-443-4167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NE 2535) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |