Organization
KUBAT PHARMACY LOUISVILLE, LLC
Active
Other names
Blakes Pharmacy - Long Term Care
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY SCHMID PHARMD (DIRECTOR OF PHARMACY)
(531) 233-4455
Entity
Organization
Contact information
Practice address
213 MAIN ST, LOUISVILLE, NE 68037-6032
(402) 234-3025
Mailing address
4924 CENTER ST, OMAHA, NE 68106-3219
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026892200
—
NE
Enumeration date
10/07/2021
Last updated
10/03/2022
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