NPI | 1679615819 |
---|---|
Doing Business As | SKAGWAY PHARMACY # 2 |
Entity Type | Organization |
Authorized Contact | TIM W BOLTON Secretary 308-384-8222 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NE 2113) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2020-08-22 |