| NPI | 1619022365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT SCHMUNK President 308-262-0580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NE 2093) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2022-04-07 |