Organization
KILBORNS INC
Active
Other names
ELMWOOD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY KILBORN (PIC)
(402) 551-5200
Entity
Organization
Contact information
Practice address
5203 LEAVENWORTH ST, OMAHA, NE 68106-1345
(402) 551-2000
(402) 551-5050
Mailing address
5203 LEAVENWORTH ST, OMAHA, NE 68106-1345
(402) 551-5200
(402) 551-5050
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2761
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2055398
PK
—
Enumeration date
06/22/2006
Last updated
10/18/2022
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