| NPI | 1457711988 |
|---|---|
| Doing Business As | HYRUM'S FAMILY VALUE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | HYRUM WILSON President 402-274-5225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NE 3093) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: NE 3093) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NE 3093) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NE 3093) | |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2017-02-13 |