| NPI | 1083797005 |
|---|---|
| Doing Business As | WAHOO PHARMACY AND GIFTS |
| Entity Type | Organization |
| Authorized Contact | MARK VOGT President 402-509-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NE 2535) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2016-06-21 |