| NPI | 1518982479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY F. REDLINE President 402-462-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NE 2835) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: NE 2835) |
| 333600000X Pharmacy (Licence: NE 2835) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NE 2835) | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: NE 2835) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2018-08-23 |