| NPI | 1093206062 |
|---|---|
| Doing Business As | DAVE'S PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAVID RANDOLPH Pharmacist 308-760-1966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NE 718) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-05-24 |