NPI | 1578142881 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT LOUDERBACK President 402-488-1184 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
3336S0011X Pharmacy Specialty Pharmacy | |
Enumeration Date | 2021-04-05 |
Last Update Date | 2021-04-05 |