| NPI | 1861585200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS BIRNER Owner 308-254-2032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NE 2791) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2018-05-25 |