NPI | 1043319114 |
---|---|
Doing Business As | GOOD LIFE PHARMACY |
Entity Type | Organization |
Authorized Contact | JAMES FRANK ANDREESEN Owner Pharmacist 308-728-3295 |
Organization Subpart ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: NE 2274) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2020-08-22 |