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Organization
KILBORNS INC
Active
Organization
KILBORNS INC
Active
Other names
Elmwood Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY M KILBORN (PRESIDENT)
(402) 551-5200
Entity
Organization
Contact information
Practice address
5203 LEAVENWORTH ST, OMAHA, NE 68106-1807
(402) 551-5200
(402) 551-5050
Mailing address
5203 LEAVENWORTH ST, OMAHA, NE 68106-1807
(402) 551-5200
(402) 551-5050
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
10551
NE
332B00000X
Durable Medical Equipment & Medical Supplies
289
NE
333600000X
Pharmacy
289
NE
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2814906
NABP
—
01
—
3241
NEBRASKA STATE LICENSE
NE
01
—
BW5027227
DEA LICENSE
—
Enumeration date
11/14/2006
Last updated
07/28/2023
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