NPI | 1235223645 |
---|---|
Doing Business As | MEDICAP PHARMACY |
Entity Type | Organization |
Authorized Contact | JERRY LEE JENSEN Owner Pharmacist 308-234-8056 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy (Licence: NE 110) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2023-03-07 |