| NPI | 1134250046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE TIESI Senior Director Of Pharmacy 402-343-4546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NE 2519) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336I0012X Pharmacy, Institutional Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2023-09-22 |