Organization
PLAZA-MART INC.
Active
Other names
Plaza-Mart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GARY D. GILMOUR (PRESIDENT, PHARMACIST-IN-CHARGE)
(402) 476-7631
Entity
Organization
Contact information
Practice address
801 S 11TH ST, LINCOLN, NE 68508-3211
(402) 476-7631
Mailing address
801 S 11TH ST, LINCOLN, NE 68508-3211
(402) 476-7631
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1216
NE
Other
Enumeration date
07/26/2006
Last updated
07/21/2022
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