# KILBORNS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elmwood Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538231931
- **Authorized official:** JEFFREY M KILBORN (PRESIDENT)
- **Authorized official phone:** (402) 551-5200

## Contact information

- **Practice address:** 5203 LEAVENWORTH ST, OMAHA, NE 68106-1807
- **Practice address phone:** (402) 551-5200
- **Practice address fax:** (402) 551-5050
- **Mailing address:** 5203 LEAVENWORTH ST, OMAHA, NE 68106-1807
- **Mailing address phone:** (402) 551-5200
- **Mailing address fax:** (402) 551-5050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 10551 | NE | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 289 | NE | — |
| 333600000X | Pharmacy | 289 | NE | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 07/28/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2814906 | NABP | — |
| 01 | — | 3241 | NEBRASKA STATE LICENSE | NE |
| 01 | — | BW5027227 | DEA LICENSE | — |