| NPI | 1043375710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD SNYDER PIC 308-346-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NE 863) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2006-12-23 |
| Last Update Date | 2017-06-30 |