| NPI | 1194748350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY D. GILMOUR President, Pharmacist In Charge 402-476-7631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NE 1216) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2022-07-21 |