| NPI | 1851400824 |
|---|---|
| Former Legal Business Name | KUBAT PHARMACY, INC. |
| Entity Type | Organization |
| Authorized Contact | BRIAN PAUL DANIEL Chief Operating Officer 402-315-1944 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2021-06-03 |