| NPI | 1609310192 |
|---|---|
| Doing Business As | ALIVATION PHARMACY, LLC |
| Entity Type | Organization |
| Authorized Contact | WALTER DUFFY Owner 402-476-5686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NE 684) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2017-01-20 |