| NPI | 1487608600 |
|---|---|
| Doing Business As | PAMIDA PHARMACY 317 |
| Entity Type | Organization |
| Authorized Contact | JOHN HARLOW CEO/President 402-596-7206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 262795-7) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2009-11-23 |