| NPI | 1619047099 |
|---|---|
| Doing Business As | COMMUNITY PHARMACY AT REGIONAL WEST |
| Entity Type | Organization |
| Authorized Contact | MICHAEL F. ICKOWSKI Vice President / CFO 308-630-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NE 2384) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2016-11-22 |