| NPI | 1437541315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER KROBOT Pharmacist In Charge 402-506-9010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: IA 4585) |
| Additional Taxonomies | 3336M0003X Pharmacy Managed Care Organization Pharmacy |
| 3336C0002X Pharmacy Clinic Pharmacy | |
| 333600000X Pharmacy (Licence: NE 3056) | |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2018-07-19 |