| NPI | 1548281595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS CHOQUETTE Pharmacy Manager 402-462-4466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NE 3026) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2024-09-26 |