| NPI | 1720120025 | 
|---|---|
| Doing Business As | SKAGWAY PHARMACY # 1 | 
| Entity Type | Organization | 
| Authorized Contact | TIM W BOLTON Secretary 308-384-8222  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NE 931)  | 
| Enumeration Date | 2007-02-13 | 
| Last Update Date | 2020-08-22 |