| NPI | 1225570856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA GLEE CORBETT Owner 402-740-0971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 1589) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2016-11-14 |