| NPI | 1629822036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY L CAVANAUGH Sr Pharmacy Operations Analyst 402-552-3927 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2024-04-12 |
| Last Update Date | 2024-04-12 |