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1902445414
PMCJK LLC
OMAHA, NE
NPI
1902445414
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Entity Type
Organization
Authorized Contact
JUSTIN M KOHLL
President
402-306-6503
Organization Subpart ?
No
Primary Taxonomy
3336C0004X Pharmacy Compounding Pharmacy
Enumeration Date
2019-12-31
Last Update Date
2019-12-31
Business Address
PMCJK LLC
620 N 114TH ST
OMAHA, NE 68154-1571
Phone number: 402-408-0015
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Mailing Address
PMCJK LLC
16705 ONTARIO PLZ
OMAHA, NE 68130-2131
Phone number: 402-306-6503
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