| NPI | 1154491462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY JURGENSON Co Owner 402-721-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NE 1627) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |