Organization
AINSWORTH PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRYA HALLOCK (CEO)
(402) 387-2800
Entity
Organization
Contact information
Practice address
255 N MAIN ST, AINSWORTH, NE 69210-1300
(402) 387-1403
Mailing address
945 E ZERO ST., AINSWORTH, NE 69210
(402) 387-2800
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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