| NPI | 1063956571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY LOBEDA Owner 308-398-4663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NE 686) |
| Additional Taxonomies | 251E00000X Home Health |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2022-10-03 |