| NPI | 1144941055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA WARREN BLOOD Pharmacist 402-806-2112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2022-09-08 |