| NPI | 1437504669 |
|---|---|
| Doing Business As | BROOKSIDERX LLC |
| Entity Type | Organization |
| Authorized Contact | KRISTI LYNN HURLEY PIC/Managing Member 402-281-1957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NE 675) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2018-01-10 |