| NPI | 1144231655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESSIEN EDET President 402-339-4036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: NE 2783) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2010-03-25 |