NPI | 1215582317 |
---|---|
Doing Business As | MEDICAP #8364 |
Entity Type | Organization |
Authorized Contact | DAVE MEYSENBURG Pharmacist In Charge 402-435-4800 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2019-08-06 |
Last Update Date | 2019-08-06 |