NPI | 1548719271 |
---|---|
Doing Business As | GENEVA PHARMACY, LLC |
Entity Type | Organization |
Authorized Contact | TANNER CHRISTIAN ANDERSON PIC/Managing Member 402-281-1956 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NE 677) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2016-09-22 |
Last Update Date | 2018-01-17 |