| NPI | 1487165452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY SCHMID Pharmacy Director/AO/PIC 402-464-6297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NE 709) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2018-01-31 |