| NPI | 1427591866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD L CAMENZIND Pharmacist In Charge 402-651-0561 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: NE 2994) |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2016-12-01 |