| NPI | 1457340408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY S DECKER President 402-592-5244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NE 2639) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: IA 3586) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2023-03-07 |