| NPI | 1033502950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL E DEINES Member/Director 402-223-4779 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: NE 605) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-03-17 |