Organization
POLING DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRELL GENE JOBMAN RPH (RP IN CHARGE)
(402) 223-3529
Entity
Organization
Contact information
Practice address
711 COURT ST, BEATRICE, NE 68310-3927
(402) 223-3529
(402) 223-3520
Mailing address
711 EAST COURT ST., BEATRICE, NE 68310-3325
(402) 223-3529
(402) 223-3520
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8124
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47046561000
—
NE
Enumeration date
08/18/2006
Last updated
05/16/2011
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