Organization
KUBAT PHARMACY, LLC
Active
Parent organization
PERCIPIO RESPIRATORY HOLDCO, LLC
Other names
Kubat Pharmacy, Inc., Kubat HealthCare
Organization subpart
Yes
Provider details
NPI number
Legal business name
PERCIPIO RESPIRATORY HOLDCO, LLC
Authorized official
MR. BRIAN PAUL DANIEL (CHIEF OPERATING OFFICER)
(402) 315-1944
Entity
Organization
Contact information
Practice address
424 W 23RD ST, FREMONT, NE 68025-1211
(402) 727-1070
(402) 727-3982
Mailing address
3206 S 71ST ST, OMAHA, NE 68106-3507
(402) 558-1192
(402) 558-0135
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025579000
—
NE
01
—
2817558
NCPDP
—
Enumeration date
09/24/2007
Last updated
10/31/2024
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