| NPI | 1881605566 |
|---|---|
| Doing Business As | NEBRASKA LONG TERM CARE |
| Entity Type | Organization |
| Authorized Contact | MITCHELL EUGENE DEINES President 402-223-4779 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 10088) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2021-06-03 |