| NPI | 1679348593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JED LEWIS Board Member/Pharmacist 402-887-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2023-11-21 |
| Last Update Date | 2023-11-21 |