Organization
HOLCOMB PHARMACY PC
Active
Organization
HOLCOMB PHARMACY PC
Active
Other names
HOLCOMB PHARMACY PC
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE HOLCOMB PHD (OWNER/PHARMACIST)
(308) 872-5231
Entity
Organization
Contact information
Practice address
540 S 8TH AVE, BROKEN BOW, NE 68822-2456
(308) 872-5231
(308) 872-2377
Mailing address
540 S 8TH AVE, BROKEN BOW, NE 68822-2456
(308) 872-5231
(308) 872-2377
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2819
NE
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2053180
PK
—
Enumeration date
09/20/2006
Last updated
03/06/2014
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