| NPI | 1235005380 |
|---|---|
| Doing Business As | MEDICINE MAN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JEDADIAH LEWIS Vice President 402-496-9757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2025-10-15 |
| Last Update Date | 2025-10-15 |