| NPI | 1649142480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL LINLEY Pharmacy Ops Support Manager 402-753-2800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2025-09-22 |
| Last Update Date | 2025-09-22 |