| NPI | 1679869267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON HAMMERSCHMIDT Pharmacist In Charge 402-326-2788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NE 450) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2011-06-22 |