| NPI | 1851448898 |
|---|---|
| Doing Business As | MEDICINE MAN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JED LEWIS Vice President/Pharmacist In Charge 402-496-9757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NE 2047) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2019-12-26 |