NPI | 1053718528 |
---|---|
Doing Business As | KOHLLS PHARMACY |
Entity Type | Organization |
Authorized Contact | DAVID GEOFFREY KOHLL Owner 402-895-6812 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 333600000X Pharmacy |
3336C0003X Pharmacy, Community/Retail Pharmacy | |
Enumeration Date | 2014-12-01 |
Last Update Date | 2014-12-01 |