| NPI | 1396028015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL O'BRIEN Pharmacist 402-496-2214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NE 2443) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2011-09-20 |