| NPI | 1386148401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC CHOQUETTE Pharmacist 402-984-3538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy (Licence: NE 715) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2020-06-11 |