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Organization
KOHLL'S PHARMACY & HOMECARE, INC.
Active
Organization
KOHLL'S PHARMACY & HOMECARE, INC.
Active
Other names
Essential Pharmacy Compounding
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID GEOFFREY KOHLL PHARM D (PRESIDENT/OWNER)
(402) 895-6812
Entity
Organization
Contact information
Practice address
620 N 114TH ST, OMAHA, NE 68154-1571
(402) 408-0012
(402) 408-0020
Mailing address
12759 Q ST, OMAHA, NE 68137-3211
(402) 895-6812
(402) 895-7655
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
2390
NE
Other
Enumeration date
02/25/2009
Last updated
05/28/2010
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