| NPI | 1144459058 |
|---|---|
| Doing Business As | LAKE CREST PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ANITA RUSE President/Owner 402-988-7145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: NE 2885) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2017-04-24 |