| NPI | 1457435711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHEL SCOTT WENDLANDT Owner Pharmacist 402-332-5990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NE 2604) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2009-01-29 |