Organization
KEITHS DRIVE-IN DRUGS INC
Active
Other names
KEITHS DRIVE IN DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT GOLLNER (OWNER)
(402) 462-6101
Entity
Organization
Contact information
Practice address
500 N HASTINGS AVE, HASTINGS, NE 68901-5110
(402) 462-2517
(402) 462-6101
Mailing address
500 N HASTINGS AVE, HASTINGS, NE 68901-5110
(402) 462-6101
(402) 462-6101
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2152
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2052717
PK
—
Enumeration date
08/31/2006
Last updated
04/20/2016
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