| NPI | 1083581532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA MCMAHON COO 402-488-1184 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2025-10-20 |
| Last Update Date | 2025-10-20 |