| NPI | 1780753632 |
|---|---|
| Doing Business As | CHI HEALTH PHARMACY-LAKESIDE |
| Entity Type | Organization |
| Authorized Contact | MATTHEW HAZEN Director 402-343-4546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NE 2661) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2017-04-27 |