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 |