| NPI | 1124726179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN B. THOMPSON Pharmacy Manager 402-717-2320 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-02-21 |