| NPI | 1437773777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY LOBEDA President 308-675-7016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2020-06-02 |