| NPI | 1790925725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE D. HOLCOMB Pharmacist/Owner 308-872-5602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NE 2818) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2009-03-03 |