| NPI | 1699891465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY A DRISCOLL President/CEO 402-371-4880 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NE 2553) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2021-07-28 |