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Organization
WAHOO MAN LLC
Active
Organization
WAHOO MAN LLC
Active
Other names
Medicine Man Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JED LEWIS PHARMD (VICE PRESIDENT)
(402) 652-3217
Entity
Organization
Contact information
Practice address
526 N LINDEN ST, WAHOO, NE 68066-1961
(402) 443-4167
(402) 496-9788
Mailing address
526 N LINDEN ST, WAHOO, NE 68066-1961
(402) 443-4167
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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