| NPI | 1588777411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ALVIN POMAJZL President 402-643-2918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NE 3024) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NE 3024) |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: NE 3024) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2015-05-04 |