| NPI | 1407033855 |
|---|---|
| Former Legal Business Name | KUBAT CUSTOM HEALTH CARE, INC. |
| Entity Type | Organization |
| Authorized Contact | BRIAN PAUL DANIEL Chief Operating Officer 402-315-1944 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2021-06-03 |