Organization
KS DRUG INC
Active
Other names
Gretna Drug
Organization subpart
No
Provider details
NPI number
Authorized official
KHATU ERLBACHER (MRS.)
(712) 490-2474
Entity
Organization
Contact information
Practice address
820 VILLAGE SQ, GRETNA, NE 68028-7914
(402) 332-5990
(402) 332-0266
Mailing address
PO BOX 898, GRETNA, NE 68028-0898
(712) 490-2474
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
435
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2818055
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/15/2010
Last updated
10/26/2010
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