| NPI | 1558501924 |
|---|---|
| Doing Business As | ESSENTIAL PHARMACY COMPOUNDING |
| Entity Type | Organization |
| Authorized Contact | DAVID GEOFFREY KOHLL President/Owner 402-895-6812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NE 2390) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2010-05-28 |