| NPI | 1952413957 |
|---|---|
| Doing Business As | KEITHS MEDICAL PARK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PATRICIA JEAN GOLLNER President 402-462-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NE 2153) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-09-28 |